Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $15,848.93	Facility		$1,862.09	$2,344.23	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,344.23	Professional		$891.25	$1,148.15	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,818.38	Professional		$1,023.29	$1,995.26	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,344.23	Professional		$1,348.96	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,235.94	Facility		$1,122.02	$1,659.59	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,454.71	Professional		$1,380.38	$1,659.59	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,862.09	Facility		$1,445.44	$1,819.70	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,238.72	Facility		$1,000.00	$1,348.96	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,511.89	Professional		$79.43	$1,778.28	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,511.89	Professional		$1,698.24	$1,995.26	$2,511.89
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 $1,202.26 / $1,819.70 / $2,630.27	Professional		$1,202.26	$1,819.70	$2,630.27