Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.28 / $1,638.00 / $2,184.00	Facility		$1,359.28	$1,638.00	$2,184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $2,470.00	Professional		$38.00	$53.00	$2,470.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,625.00 / $2,150.00	Professional		$1,275.00	$1,625.00	$2,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.00 / $1,893.58 / $2,207.66	Professional		$1,612.00	$1,893.58	$2,207.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,346.00 / $4,845.79 / $5,085.88	Facility		$4,346.00	$4,845.79	$5,085.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.45 / $1,261.00 / $2,108.00	Professional		$879.45	$1,261.00	$2,108.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,352.00 / $1,956.50	Facility		$1,144.00	$1,352.00	$1,956.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,116.40 / $3,232.79 / $5,085.88	Facility		$2,116.40	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $1,638.00 / $2,150.00	Professional		$1,430.00	$1,638.00	$2,150.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,501.50 / $1,736.80 / $2,133.30	Professional		$1,501.50	$1,736.80	$2,133.30
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $66.00 / $94.28	Professional		$51.00	$66.00	$94.28