Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $7,943.28	Facility		$2,187.76	$4,168.69	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $4,168.69	Professional		$1,412.54	$1,862.09	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $5,128.61	Professional		$1,949.84	$3,467.37	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,265.80	Professional		$2,630.27	$3,388.44	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,265.80	Facility		$1,698.24	$2,398.83	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,570.88	Professional		$2,187.76	$2,884.03	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,467.37	Facility		$2,137.96	$2,818.38	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,467.37	Facility		$1,659.59	$2,238.72	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,162.28 / $4,570.88	Professional		$79.43	$3,162.28	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $4,677.35	Professional		$3,162.28	$3,630.78	$4,677.35
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 $1,819.70 / $3,019.95 / $4,677.35	Professional		$1,819.70	$3,019.95	$4,677.35