Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $15,848.93	Facility		$2,511.89	$3,162.28	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $3,090.30	Professional		$1,096.48	$1,348.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $3,801.89	Professional		$1,288.25	$2,691.53	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,019.95	Professional		$1,737.80	$2,290.87	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $4,265.80	Facility		$1,258.93	$2,089.30	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,235.94	Professional		$1,862.09	$2,187.76	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $2,511.89	Facility		$1,905.46	$2,344.23	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,235.94	Facility		$1,288.25	$1,819.70	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,398.83 / $3,388.44	Professional		$79.43	$2,398.83	$3,388.44
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 $2,290.87 / $2,691.53 / $3,388.44	Professional		$2,290.87	$2,691.53	$3,388.44
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 $1,479.11 / $2,454.71 / $3,388.44	Professional		$1,479.11	$2,454.71	$3,388.44