Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $13,182.57	Facility		$1,737.80	$2,691.53	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,754.23	Professional		$870.96	$1,230.27	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $3,235.94	Professional		$1,122.02	$2,238.72	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,090.30	Professional		$1,380.38	$2,137.96	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,951.21	Facility		$1,096.48	$1,737.80	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,951.21	Professional		$1,348.96	$1,778.28	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,398.83	Facility		$1,513.56	$2,137.96	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,691.53	Facility		$977.24	$1,584.89	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $3,019.95	Professional		$79.43	$1,995.26	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,090.30	Professional		$1,698.24	$2,290.87	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $3,090.30	Professional		$1,148.15	$2,041.74	$3,090.30