Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $7,943.28	Facility		$1,348.96	$2,570.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,570.40	Professional		$1,047.13	$1,258.93	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $3,162.28	Professional		$1,122.02	$2,187.76	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,570.40	Professional		$1,479.11	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,754.23	Facility		$1,230.27	$1,737.80	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,691.53	Professional		$1,513.56	$1,862.09	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,041.74	Facility		$1,548.82	$1,995.26	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,454.71	Facility		$1,096.48	$1,513.56	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,818.38	Professional		$79.43	$1,949.84	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,754.23	Professional		$1,862.09	$2,187.76	$2,754.23
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 $1,318.26 / $1,995.26 / $2,884.03	Professional		$1,318.26	$1,995.26	$2,884.03