Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,257.69 / $6,257.69 / $10,919.40	Facility		$6,257.69	$6,257.69	$10,919.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.35 / $2,133.67 / $2,434.90	Professional		$1,807.35	$2,133.67	$2,434.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,079.10 / $4,079.10 / $7,293.43	Facility		$4,079.10	$4,079.10	$7,293.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $5,511.28 / $6,604.35	Professional		$2,510.21	$5,511.28	$6,604.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $2,434.90 / $5,522.46	Facility		$1,882.66	$2,434.90	$5,522.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,388.78	Professional		$2,510.21	$2,510.21	$3,388.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,811.44 / $4,392.87	Facility		$2,510.21	$2,811.44	$4,392.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,259.19 / $3,012.25 / $6,400.13	Facility		$2,259.19	$3,012.25	$6,400.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,761.23 / $2,761.23 / $3,514.29	Professional		$2,761.23	$2,761.23	$3,514.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,020.42 / $8,128.06 / $9,854.33	Facility		$5,020.42	$8,128.06	$9,854.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,011.43 / $4,936.35 / $7,895.45	Professional		$4,011.43	$4,936.35	$7,895.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,054.29 / $2,510.21	Professional		$1,054.29	$1,054.29	$2,510.21