Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $7,943.28	Facility		$3,467.37	$4,365.16	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,265.80	Professional		$1,548.82	$1,995.26	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $5,248.07	Professional		$1,949.84	$3,715.35	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $4,466.84	Professional		$2,570.40	$3,388.44	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,677.35	Facility		$1,862.09	$2,570.40	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,570.88	Professional		$2,511.89	$2,951.21	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $3,467.37	Facility		$2,454.71	$3,311.31	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,168.69	Facility		$1,737.80	$2,344.23	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,786.30	Professional		$79.43	$3,311.31	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $4,786.30	Professional		$3,162.28	$3,715.35	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $4,786.30	Professional		$2,137.96	$3,388.44	$4,786.30