Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,709.64 / $8,709.64	Facility		$1,905.46	$8,709.64	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,344.23	Professional		$1,288.25	$1,513.56	$2,344.23
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 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,691.53	Professional		$1,905.46	$2,137.96	$2,691.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,691.53	Facility		$1,949.84	$1,949.84	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $4,897.79	Facility		$1,445.44	$2,630.27	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $2,691.53	Professional		$79.43	$2,137.96	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $7,585.78	Facility		$2,884.03	$5,754.40	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $2,344.23	Professional		$1,548.82	$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 $812.83 / $812.83 / $2,344.23	Professional		$812.83	$812.83	$2,344.23