Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $7,943.28	Facility		$1,348.96	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,884.03	Professional		$1,023.29	$1,348.96	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $3,467.37	Professional		$1,288.25	$2,454.71	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,818.38	Professional		$1,621.81	$2,089.30	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,884.03	Facility		$1,258.93	$1,737.80	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,019.95	Professional		$1,513.56	$2,041.74	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,344.23	Facility		$1,698.24	$2,187.76	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,754.23	Facility		$1,202.26	$1,621.81	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,090.30	Professional		$79.43	$2,238.72	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,162.28	Professional		$2,137.96	$2,511.89	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,235.94	Professional		$1,445.44	$2,238.72	$3,235.94