Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $15,848.93	Facility		$2,290.87	$3,311.31	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,715.35	Professional		$1,202.26	$1,621.81	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,951.21 / $4,073.80	Professional		$1,445.44	$2,951.21	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,548.13	Professional		$1,698.24	$2,570.40	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,801.89	Facility		$1,445.44	$2,290.87	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,801.89	Professional		$1,819.70	$2,454.71	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $2,951.21	Facility		$2,137.96	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,388.44	Facility		$1,348.96	$2,041.74	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,691.53 / $3,801.89	Professional		$79.43	$2,691.53	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,801.89	Professional		$2,344.23	$2,951.21	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $3,890.45	Professional		$1,621.81	$2,691.53	$3,890.45