Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,630.78	Professional		$1,445.44	$2,137.96	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,511.38 / $14,125.38	Professional		$4,897.79	$8,511.38	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,715.35 / $11,220.18	Facility		$1,659.59	$3,715.35	$11,220.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $7,079.46	Professional		$3,630.78	$6,606.93	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $7,413.10	Facility		$4,897.79	$5,495.41	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $8,709.64	Facility		$1,778.28	$3,715.35	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $6,606.93	Professional		$79.43	$3,019.95	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $17,378.01	Facility		$10,000.00	$10,000.00	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $5,888.44	Professional		$3,890.45	$4,168.69	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $5,248.07	Professional		$1,047.13	$1,513.56	$5,248.07