Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $15,848.93	Facility		$2,041.74	$2,570.40	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,090.30	Professional		$1,023.29	$1,318.26	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,090.30	Professional		$1,096.48	$2,137.96	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,511.89	Professional		$1,445.44	$1,905.46	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,467.37	Facility		$1,122.02	$1,862.09	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,630.27	Professional		$1,479.11	$1,819.70	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,041.74	Facility		$1,548.82	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,570.40	Facility		$1,122.02	$1,513.56	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,754.23	Professional		$79.43	$1,949.84	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,754.23	Professional		$1,819.70	$2,137.96	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,818.38	Professional		$1,318.26	$1,995.26	$2,818.38