Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $33,884.42	Facility		$1,949.84	$7,943.28	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $5,011.87	Professional		$1,000.00	$1,288.25	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $3,388.44	Professional		$1,230.27	$2,344.23	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,691.53	Professional		$1,548.82	$2,041.74	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $13,182.57	Facility		$1,230.27	$1,862.09	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,951.21	Professional		$1,621.81	$1,995.26	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Facility		$1,819.70	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,691.53	Facility		$1,148.15	$1,621.81	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $3,019.95	Professional		$79.43	$2,137.96	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $32,359.37 / $38,904.51	Facility		$23,442.29	$32,359.37	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,019.95	Professional		$2,089.30	$2,398.83	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,090.30	Professional		$1,412.54	$2,187.76	$3,090.30