Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $7,943.28	Facility		$1,513.56	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,235.94	Professional		$1,148.15	$1,513.56	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $3,981.07	Professional		$1,445.44	$2,818.38	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,388.44	Professional		$1,949.84	$2,570.40	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,235.94	Facility		$1,412.54	$1,905.46	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,388.44	Professional		$1,905.46	$2,187.76	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,630.27	Facility		$1,995.26	$2,454.71	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,090.30	Facility		$1,318.26	$1,778.28	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,548.13	Professional		$79.43	$2,454.71	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $3,548.13	Professional		$2,398.83	$2,818.38	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $25,703.96 / $52,480.75	Facility		$3,311.31	$25,703.96	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,548.13	Professional		$1,584.89	$2,511.89	$3,548.13