Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,522.78 / $5,522.78 / $5,522.78	Facility		$5,522.78	$5,522.78	$5,522.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,595.09 / $1,883.09 / $2,148.94	Professional		$1,595.09	$1,883.09	$2,148.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.03 / $3,600.03 / $3,600.03	Facility		$3,600.03	$3,600.03	$3,600.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $3,928.31 / $6,344.23	Professional		$2,215.40	$3,928.31	$6,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.40 / $2,148.94 / $4,873.88	Facility		$1,639.40	$2,148.94	$4,873.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,658.48 / $3,101.56	Professional		$2,215.40	$2,658.48	$3,101.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $3,101.56	Facility		$2,215.40	$2,215.40	$3,101.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,639.40 / $2,599.14 / $4,620.22	Facility		$1,639.40	$2,599.14	$4,620.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,436.94 / $2,436.94 / $3,190.18	Professional		$2,436.94	$2,436.94	$3,190.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,430.80 / $4,430.80 / $7,753.90	Facility		$4,430.80	$4,430.80	$7,753.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,540.33 / $3,726.66 / $6,981.10	Professional		$3,540.33	$3,726.66	$6,981.10
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $930.47 / $3,987.72	Professional		$930.47	$930.47	$3,987.72