Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $7,943.28	Facility		$1,995.26	$3,890.45	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,890.45	Professional		$1,479.11	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $4,677.35	Professional		$1,737.80	$3,311.31	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,981.07	Professional		$2,290.87	$3,019.95	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,073.80	Facility		$1,737.80	$2,570.40	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,168.69	Professional		$2,290.87	$2,630.27	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,162.28	Facility		$2,238.72	$2,884.03	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,548.13	Facility		$1,621.81	$2,089.30	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,168.69	Professional		$79.43	$2,951.21	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $4,265.80	Professional		$2,884.03	$3,467.37	$4,265.80
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 $1,862.09 / $3,019.95 / $4,365.16	Professional		$1,862.09	$3,019.95	$4,365.16