Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,762.47 / $8,709.64	Facility		$1,698.24	$7,762.47	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,089.30	Professional		$1,148.15	$1,445.44	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,623.41	Facility		$3,162.28	$3,162.28	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $5,128.61	Professional		$1,949.84	$4,168.69	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,454.71	Facility		$1,949.84	$1,949.84	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $2,754.23	Professional		$1,479.11	$2,344.23	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,754.23	Facility		$1,949.84	$1,949.84	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $5,128.61	Facility		$1,318.26	$2,630.27	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,630.27	Professional		$79.43	$1,949.84	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,585.78	Facility		$2,951.21	$5,248.07	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,344.23	Professional		$1,513.56	$1,659.59	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,090.30	Facility		$2,344.23	$2,344.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $2,089.30	Professional		$741.31	$741.31	$2,089.30