Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,943.28	Facility		$2,089.30	$3,981.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $4,168.69	Professional		$1,479.11	$1,995.26	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $4,897.79	Professional		$1,862.09	$3,388.44	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,073.80	Professional		$2,454.71	$3,235.94	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $4,466.84	Facility		$1,584.89	$2,454.71	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,365.16	Professional		$2,454.71	$2,818.38	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,311.31	Facility		$2,454.71	$3,090.30	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,890.45	Facility		$1,584.89	$2,187.76	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,090.30 / $4,466.84	Professional		$79.43	$3,090.30	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $4,466.84	Professional		$3,019.95	$3,548.13	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $4,466.84	Professional		$1,905.46	$3,235.94	$4,466.84