Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $7,943.28	Facility		$1,412.54	$2,630.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,311.31	Professional		$1,096.48	$1,412.54	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,235.94	Professional		$1,479.11	$2,454.71	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $2,691.53	Professional		$1,000.00	$2,238.72	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,162.28	Facility		$1,412.54	$2,041.74	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,235.94	Professional		$1,778.28	$2,290.87	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,398.83	Facility		$1,737.80	$2,089.30	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $2,818.38	Facility		$1,230.27	$1,949.84	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $3,019.95	Professional		$79.43	$2,041.74	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,467.37	Professional		$1,995.26	$2,570.40	$3,467.37
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 $1,584.89 / $2,398.83 / $3,235.94	Professional		$1,584.89	$2,398.83	$3,235.94