Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $7,943.28	Facility		$1,862.09	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,235.94	Professional		$1,318.26	$1,548.82	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $3,981.07	Professional		$1,412.54	$2,754.23	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,235.94	Professional		$1,862.09	$2,454.71	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,548.13	Facility		$1,445.44	$2,187.76	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $3,388.44	Professional		$1,949.84	$2,344.23	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,630.27	Facility		$1,949.84	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,162.28	Facility		$1,445.44	$1,905.46	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,548.13	Professional		$79.43	$2,511.89	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $3,548.13	Professional		$2,398.83	$2,754.23	$3,548.13
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 $1,659.59 / $2,570.40 / $3,630.78	Professional		$1,659.59	$2,570.40	$3,630.78