Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,760.83 / $6,918.31	Facility		$1,479.11	$6,760.83	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,819.70	Professional		$1,000.00	$1,174.90	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,365.16	Facility		$2,454.71	$2,454.71	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $3,981.07	Professional		$1,513.56	$3,235.94	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,137.96	Professional		$1,479.11	$1,659.59	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,137.96	Facility		$1,513.56	$1,513.56	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $3,890.45	Facility		$1,122.02	$2,041.74	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,137.96	Professional		$79.43	$1,659.59	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $6,025.60	Facility		$2,290.87	$4,466.84	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,819.70	Professional		$1,202.26	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,454.71	Facility		$1,819.70	$1,819.70	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,819.70	Professional		$630.96	$630.96	$1,819.70