Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $7,943.28	Facility		$2,454.71	$4,677.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,128.61	Professional		$1,737.80	$2,290.87	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $5,754.40	Professional		$2,187.76	$3,981.07	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,786.30	Professional		$2,884.03	$3,801.89	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $5,248.07	Facility		$1,862.09	$2,884.03	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $5,128.61	Professional		$2,951.21	$3,388.44	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $3,890.45	Facility		$2,951.21	$3,630.78	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $4,570.88	Facility		$1,862.09	$2,630.27	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,715.35 / $5,248.07	Professional		$79.43	$3,715.35	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $5,248.07	Professional		$3,548.13	$4,168.69	$5,248.07
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 $2,398.83 / $3,890.45 / $5,370.32	Professional		$2,398.83	$3,890.45	$5,370.32