Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,137.96	Professional		$1,621.81	$1,819.70	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $6,309.57	Professional		$2,238.72	$3,801.89	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,238.72	Facility		$2,137.96	$2,238.72	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,090.30	Professional		$2,137.96	$2,630.27	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Facility		$2,238.72	$2,238.72	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $4,897.79	Facility		$1,548.82	$2,570.40	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,454.71 / $3,162.28	Professional		$79.43	$2,454.71	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,762.47	Facility		$4,466.84	$4,466.84	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,630.27	Professional		$1,737.80	$1,862.09	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $3,090.30	Professional		$933.25	$933.25	$3,090.30