Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,309.57 / $11,220.18	Facility		$2,454.71	$6,309.57	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,162.28	Professional		$1,659.59	$1,949.84	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $7,244.36	Facility		$4,073.80	$4,073.80	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $6,606.93	Professional		$2,511.89	$5,370.32	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,548.13	Professional		$2,454.71	$2,754.23	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,890.45	Facility		$2,238.72	$2,754.23	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $6,456.54	Facility		$1,862.09	$3,388.44	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,754.23 / $3,548.13	Professional		$79.43	$2,754.23	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $9,772.37	Facility		$3,801.89	$7,413.10	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $3,019.95	Professional		$1,995.26	$2,137.96	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,981.07	Facility		$3,019.95	$3,019.95	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $3,019.95	Professional		$1,047.13	$1,047.13	$3,019.95