Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $7,943.28	Facility		$1,905.46	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $4,466.84	Professional		$1,479.11	$1,905.46	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $4,365.16	Professional		$1,995.26	$3,311.31	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $3,630.78	Professional		$1,348.96	$3,019.95	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,073.80	Facility		$1,905.46	$2,754.23	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,365.16	Professional		$2,398.83	$3,019.95	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,090.30	Facility		$2,238.72	$2,754.23	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,801.89	Facility		$1,659.59	$2,454.71	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,754.23 / $4,073.80	Professional		$79.43	$2,754.23	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,677.35	Professional		$2,691.53	$3,467.37	$4,677.35
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 $2,041.74 / $3,162.28 / $4,365.16	Professional		$2,041.74	$3,162.28	$4,365.16