Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $7,943.28	Facility		$1,995.26	$3,715.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,890.45	Professional		$1,380.38	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $4,677.35	Professional		$1,737.80	$3,162.28	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,890.45	Professional		$2,344.23	$3,090.30	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,265.80	Facility		$1,513.56	$2,290.87	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,073.80	Professional		$2,344.23	$2,691.53	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,162.28	Facility		$2,238.72	$2,951.21	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,630.78	Facility		$1,513.56	$2,089.30	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,168.69	Professional		$79.43	$2,951.21	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $4,265.80	Professional		$2,884.03	$3,311.31	$4,265.80
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 $1,905.46 / $3,090.30 / $4,265.80	Professional		$1,905.46	$3,090.30	$4,265.80