Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $7,943.28	Facility		$1,258.93	$2,344.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,951.21	Professional		$977.24	$1,258.93	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $2,884.03	Professional		$1,318.26	$2,238.72	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,995.26 / $2,454.71	Professional		$891.25	$1,995.26	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,754.23	Facility		$1,258.93	$1,819.70	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,884.03	Professional		$1,584.89	$2,041.74	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,187.76	Facility		$1,621.81	$1,862.09	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,691.53	Facility		$1,122.02	$1,698.24	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,691.53	Professional		$79.43	$1,819.70	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,090.30	Professional		$1,778.28	$2,290.87	$3,090.30
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 $1,380.38 / $2,238.72 / $3,019.95	Professional		$1,380.38	$2,238.72	$3,019.95