Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $7,943.28	Facility		$2,511.89	$4,466.84	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $4,365.16	Professional		$1,548.82	$1,905.46	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $5,370.32	Professional		$1,819.70	$3,715.35	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,168.69	Professional		$2,398.83	$3,162.28	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $5,011.87	Facility		$1,778.28	$2,884.03	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $4,570.88	Professional		$2,511.89	$3,090.30	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $3,548.13	Facility		$2,754.23	$3,388.44	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,365.16	Facility		$1,819.70	$2,511.89	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,388.44 / $4,786.30	Professional		$79.43	$3,388.44	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,786.30	Professional		$3,311.31	$3,801.89	$4,786.30
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 $2,290.87 / $3,467.37 / $4,897.79	Professional		$2,290.87	$3,467.37	$4,897.79