Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,786.87 / $3,786.87 / $6,607.91	Facility		$3,786.87	$3,786.87	$6,607.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.72 / $1,291.20 / $1,473.49	Professional		$1,093.72	$1,291.20	$1,473.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.48 / $2,468.48 / $4,413.63	Facility		$2,468.48	$2,468.48	$4,413.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $3,335.18 / $3,996.65	Professional		$1,519.06	$3,335.18	$3,996.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.30 / $1,473.49 / $3,341.93	Facility		$1,139.30	$1,473.49	$3,341.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $2,050.73	Professional		$1,519.06	$1,519.06	$2,050.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $1,595.01 / $2,126.67	Facility		$1,519.06	$1,595.01	$2,126.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,367.15 / $1,822.87 / $3,873.61	Facility		$1,367.15	$1,822.87	$3,873.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,670.97 / $1,670.97 / $2,126.67	Professional		$1,670.97	$1,670.97	$2,126.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,038.12 / $4,918.72 / $5,963.37	Facility		$3,038.12	$4,918.72	$5,963.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,427.54 / $2,987.40 / $4,777.97	Professional		$2,427.54	$2,987.40	$4,777.97
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $638.01 / $1,595.01	Professional		$638.01	$638.01	$1,595.01