Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $7,943.28	Facility		$1,174.90	$2,238.72	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,238.72	Professional		$891.25	$1,096.48	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $2,754.23	Professional		$977.24	$1,905.46	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,238.72	Professional		$1,288.25	$1,698.24	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,398.83	Facility		$1,071.52	$1,548.82	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,344.23	Professional		$1,348.96	$1,584.89	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,778.28	Facility		$1,348.96	$1,737.80	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,137.96	Facility		$977.24	$1,288.25	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,454.71	Professional		$79.43	$1,698.24	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,454.71	Professional		$1,621.81	$1,905.46	$2,454.71
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 $1,148.15 / $1,737.80 / $2,511.89	Professional		$1,148.15	$1,737.80	$2,511.89