Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $15,848.93	Facility		$2,630.27	$3,311.31	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,235.94	Professional		$1,174.90	$1,513.56	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $3,981.07	Professional		$1,445.44	$2,754.23	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,162.28	Professional		$1,819.70	$2,398.83	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $4,570.88	Facility		$1,445.44	$2,137.96	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,467.37	Professional		$1,905.46	$2,344.23	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $2,630.27	Facility		$2,137.96	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,162.28	Facility		$1,348.96	$1,862.09	$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 $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 $2,454.71 / $2,818.38 / $3,548.13	Professional		$2,454.71	$2,818.38	$3,548.13
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 $1,621.81 / $2,570.40 / $3,630.78	Professional		$1,621.81	$2,570.40	$3,630.78