Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $12,022.64 / $12,302.69	Facility		$2,630.27	$12,022.64	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,235.94	Professional		$1,698.24	$2,089.30	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $7,943.28	Facility		$4,365.16	$4,365.16	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $7,079.46	Professional		$2,691.53	$5,754.40	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,801.89	Professional		$2,691.53	$2,951.21	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,801.89	Facility		$2,691.53	$2,691.53	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $6,918.31	Facility		$1,995.26	$3,630.78	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $3,801.89	Professional		$79.43	$2,951.21	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $10,715.19	Facility		$4,073.80	$7,943.28	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $3,235.94	Professional		$2,187.76	$2,290.87	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,365.16	Facility		$3,235.94	$3,235.94	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,235.94	Professional		$1,148.15	$1,148.15	$3,235.94