Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $21,877.62	Facility		$3,162.28	$4,073.80	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $3,630.78	Professional		$1,380.38	$1,737.80	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $4,897.79	Professional		$1,659.59	$3,467.37	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,981.07	Professional		$2,290.87	$3,019.95	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $5,370.32	Facility		$1,584.89	$2,691.53	$5,370.32
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 $2,187.76 / $2,884.03 / $3,162.28	Facility		$2,187.76	$2,884.03	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,890.45	Facility		$1,584.89	$2,344.23	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $4,265.80	Professional		$79.43	$3,019.95	$4,265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $4,265.80	Professional		$2,884.03	$3,388.44	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,168.69	Professional		$1,905.46	$3,019.95	$4,168.69