Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $7,943.28	Facility		$1,659.59	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,090.30	Professional		$1,122.02	$1,412.54	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $3,801.89	Professional		$1,445.44	$2,630.27	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,235.94	Professional		$1,949.84	$2,570.40	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,548.13	Facility		$1,258.93	$1,862.09	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,388.44	Professional		$1,905.46	$2,238.72	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,630.27	Facility		$1,778.28	$2,454.71	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,019.95	Facility		$1,230.27	$1,737.80	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,467.37	Professional		$79.43	$2,454.71	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,548.13	Professional		$2,344.23	$2,754.23	$3,548.13
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 $1,548.82 / $2,511.89 / $3,548.13	Professional		$1,548.82	$2,511.89	$3,548.13