Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $7,943.28	Facility		$1,548.82	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,951.21	Professional		$1,202.26	$1,479.11	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $3,630.78	Professional		$1,288.25	$2,570.40	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,951.21	Professional		$1,698.24	$2,238.72	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,235.94	Facility		$1,445.44	$1,995.26	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,090.30	Professional		$1,737.80	$2,137.96	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,398.83	Facility		$1,778.28	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,884.03	Facility		$1,258.93	$1,737.80	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,235.94	Professional		$79.43	$2,290.87	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,235.94	Professional		$2,187.76	$2,570.40	$3,235.94
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 $1,513.56 / $2,344.23 / $3,311.31	Professional		$1,513.56	$2,344.23	$3,311.31