Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $7,943.28	Facility		$1,288.25	$2,398.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,630.27	Professional		$870.96	$1,230.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $3,019.95	Professional		$1,122.02	$2,041.74	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,511.89	Professional		$1,548.82	$1,995.26	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,691.53	Facility		$1,000.00	$1,479.11	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,630.27	Professional		$1,479.11	$1,737.80	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,041.74	Facility		$1,445.44	$1,905.46	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,344.23	Facility		$954.99	$1,348.96	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,691.53	Professional		$79.43	$1,905.46	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,754.23	Professional		$1,819.70	$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 $1,230.27 / $1,949.84 / $2,754.23	Professional		$1,230.27	$1,949.84	$2,754.23