Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $7,943.28	Facility		$2,290.87	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,818.38	Professional		$1,096.48	$1,412.54	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $3,467.37	Professional		$1,288.25	$2,454.71	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,951.21	Professional		$1,737.80	$2,238.72	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,981.07	Facility		$1,258.93	$1,949.84	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Professional		$1,659.59	$1,949.84	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,344.23	Facility		$1,698.24	$2,041.74	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,454.71	Facility		$1,230.27	$1,584.89	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,090.30	Professional		$79.43	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,162.28	Professional		$2,137.96	$2,511.89	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,238.72 / $7,413.10	Facility		$354.81	$2,238.72	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $3,235.94	Professional		$1,318.26	$2,187.76	$3,235.94