Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,844.22 / $4,844.22 / $8,452.95	Facility		$4,844.22	$4,844.22	$8,452.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.11 / $1,651.73 / $1,884.91	Professional		$1,399.11	$1,651.73	$1,884.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,157.73 / $3,157.73 / $5,646.01	Facility		$3,157.73	$3,157.73	$5,646.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $4,266.26 / $5,112.41	Professional		$1,943.21	$4,266.26	$5,112.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.41 / $1,884.91 / $4,275.06	Facility		$1,457.41	$1,884.91	$4,275.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $1,943.21 / $2,623.33	Professional		$1,943.21	$1,943.21	$2,623.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,943.21 / $2,040.37 / $2,720.49	Facility		$1,943.21	$2,040.37	$2,720.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,748.89 / $2,331.85 / $4,954.27	Facility		$1,748.89	$2,331.85	$4,954.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.53 / $2,137.53 / $2,720.49	Professional		$2,137.53	$2,137.53	$2,720.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,886.42 / $6,292.11 / $7,628.46	Facility		$3,886.42	$6,292.11	$7,628.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,104.96 / $3,821.01 / $6,111.30	Professional		$3,104.96	$3,821.01	$6,111.30
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $816.15 / $2,331.85	Professional		$816.15	$816.15	$2,331.85