Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $15,848.93	Facility		$2,290.87	$2,884.03	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,570.40	Professional		$1,023.29	$1,318.26	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,467.37	Professional		$1,258.93	$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 / $1,862.09 / $3,981.07	Facility		$1,258.93	$1,862.09	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,019.95	Professional		$1,659.59	$2,041.74	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,344.23	Facility		$1,778.28	$2,238.72	$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 / $2,187.76 / $3,090.30	Professional		$79.43	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $23,988.33 / $28,840.32	Facility		$19,054.61	$23,988.33	$28,840.32
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 $2,884.03 / $17,782.79 / $32,359.37	Facility		$2,884.03	$17,782.79	$32,359.37
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