Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $7,943.28	Facility		$1,584.89	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,162.28	Professional		$1,202.26	$1,513.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $3,890.45	Professional		$1,412.54	$2,630.27	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,235.94	Professional		$1,905.46	$2,511.89	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,388.44	Facility		$1,445.44	$2,041.74	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,388.44	Professional		$1,905.46	$2,238.72	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,570.40	Facility		$1,905.46	$2,398.83	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $3,019.95	Facility		$1,412.54	$1,737.80	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,398.83 / $3,388.44	Professional		$79.43	$2,398.83	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $3,467.37	Professional		$2,344.23	$2,691.53	$3,467.37
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 $1,479.11 / $2,398.83 / $3,467.37	Professional		$1,479.11	$2,398.83	$3,467.37