Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $12,302.69 / $12,302.69	Facility		$2,691.53	$12,302.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,089.30 / $2,691.53	Professional		$457.09	$2,089.30	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,943.28	Facility		$4,466.84	$4,466.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,888.44 / $7,244.36	Professional		$2,754.23	$5,888.44	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $3,890.45	Professional		$2,691.53	$3,019.95	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,265.80	Facility		$2,454.71	$3,019.95	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $7,244.36	Facility		$2,041.74	$3,801.89	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,019.95 / $3,890.45	Professional		$79.43	$3,019.95	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,128.31 / $10,715.19	Facility		$4,168.69	$8,128.31	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,344.23 / $3,311.31	Professional		$2,187.76	$2,344.23	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,365.16	Facility		$3,311.31	$3,311.31	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,311.31	Professional		$1,148.15	$1,148.15	$3,311.31