Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $7,943.28	Facility		$1,288.25	$2,454.71	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,454.71	Professional		$870.96	$1,122.02	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $3,019.95	Professional		$1,148.15	$2,041.74	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,511.89	Professional		$1,548.82	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,511.89	Facility		$1,000.00	$1,479.11	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,691.53	Professional		$1,348.96	$1,698.24	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,041.74	Facility		$1,348.96	$1,659.59	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,187.76	Facility		$977.24	$1,318.26	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,691.53	Professional		$79.43	$1,862.09	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $2,754.23	Professional		$1,862.09	$2,137.96	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,754.23	Professional		$1,096.48	$1,862.09	$2,754.23