Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $7,943.28	Facility		$1,778.28	$3,311.31	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $4,073.80	Professional		$1,380.38	$1,778.28	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $3,981.07	Professional		$1,819.70	$3,090.30	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $3,388.44	Professional		$1,230.27	$2,754.23	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,801.89	Facility		$1,778.28	$2,511.89	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,981.07	Professional		$2,187.76	$2,754.23	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,754.23	Facility		$2,041.74	$2,570.40	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,388.44	Facility		$1,548.82	$2,290.87	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,715.35	Professional		$79.43	$2,570.40	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $4,265.80	Professional		$2,511.89	$3,235.94	$4,265.80
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 $1,862.09 / $2,884.03 / $3,981.07	Professional		$1,862.09	$2,884.03	$3,981.07