Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $15,848.93	Facility		$3,801.89	$4,786.30	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,677.35	Professional		$1,659.59	$2,041.74	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $5,754.40	Professional		$1,949.84	$4,073.80	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,570.88	Professional		$2,630.27	$3,388.44	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $6,456.54	Facility		$1,905.46	$3,090.30	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $4,897.79	Professional		$2,754.23	$3,311.31	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $3,801.89	Facility		$2,691.53	$3,630.78	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $4,677.35	Facility		$1,949.84	$2,754.23	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,630.78 / $5,128.61	Professional		$79.43	$3,630.78	$5,128.61
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 $3,467.37 / $4,073.80 / $5,128.61	Professional		$3,467.37	$4,073.80	$5,128.61
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 $2,344.23 / $3,715.35 / $5,128.61	Professional		$2,344.23	$3,715.35	$5,128.61