Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,943.28 / $7,943.28	Facility		$2,238.72	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,951.21	Professional		$1,071.52	$1,819.70	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $4,897.79	Professional		$2,398.83	$3,801.89	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $4,265.80	Professional		$2,454.71	$3,467.37	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $7,943.28	Facility		$1,995.26	$2,454.71	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $7,244.36	Professional		$1,071.52	$2,238.72	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,548.82	Facility		$1,318.26	$1,412.54	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $3,235.94	Facility		$1,819.70	$2,238.72	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $4,786.30	Professional		$79.43	$2,691.53	$4,786.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $5,248.07	Professional		$3,019.95	$3,890.45	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $4,677.35	Professional		$2,187.76	$3,467.37	$4,677.35