Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,876.12 / $7,876.12 / $13,743.50	Facility		$7,876.12	$7,876.12	$13,743.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,274.78 / $2,685.51 / $3,064.64	Professional		$2,274.78	$2,685.51	$3,064.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,134.05 / $5,134.05 / $9,179.68	Facility		$5,134.05	$5,134.05	$9,179.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $6,936.67 / $8,312.45	Professional		$3,159.42	$6,936.67	$8,312.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,369.57 / $3,064.64 / $6,950.72	Facility		$2,369.57	$3,064.64	$6,950.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $4,265.22	Professional		$3,159.42	$3,159.42	$4,265.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $3,538.55 / $5,528.99	Facility		$3,159.42	$3,538.55	$5,528.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,843.48 / $3,791.30 / $8,055.15	Facility		$2,843.48	$3,791.30	$8,055.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,475.36 / $3,475.36 / $4,423.18	Professional		$3,475.36	$3,475.36	$4,423.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,318.84 / $10,230.20 / $12,402.94	Facility		$6,318.84	$10,230.20	$12,402.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,048.39 / $6,212.96 / $9,936.45	Professional		$5,048.39	$6,212.96	$9,936.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,326.96 / $3,317.39	Professional		$1,326.96	$1,326.96	$3,317.39