Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.65 / $7,920.26 / $11,029.52	Facility		$2,010.65	$7,920.26	$11,029.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.41 / $1,634.68 / $6,776.34	Professional		$1,278.41	$1,634.68	$6,776.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,754.01 / $2,666.86 / $3,805.68	Professional		$1,754.01	$2,666.86	$3,805.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,016.53 / $2,853.95 / $3,248.85	Professional		$2,016.53	$2,853.95	$3,248.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,634.68 / $2,524.71 / $3,524.20	Facility		$1,634.68	$2,524.71	$3,524.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.29 / $2,515.64 / $4,115.47	Professional		$2,070.29	$2,515.64	$4,115.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,893.91 / $2,456.50 / $2,643.16	Facility		$1,893.91	$2,456.50	$2,643.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,634.68 / $2,851.46 / $3,514.56	Facility		$1,634.68	$2,851.46	$3,514.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,257.80 / $3,031.86 / $3,877.28	Professional		$2,257.80	$3,031.86	$3,877.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,441.52 / $3,119.89 / $4,109.72	Professional		$2,441.52	$3,119.89	$4,109.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $30,636.00 / $55,640.00	Facility		$3,960.00	$30,636.00	$55,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,003.56 / $2,784.96 / $4,102.39	Professional		$2,003.56	$2,784.96	$4,102.39