Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,755.63 / $6,755.63 / $11,788.30	Facility		$6,755.63	$6,755.63	$11,788.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,951.16 / $2,303.46 / $2,628.65	Professional		$1,951.16	$2,303.46	$2,628.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,403.68 / $4,403.68 / $7,873.77	Facility		$4,403.68	$4,403.68	$7,873.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $5,950.19 / $7,130.31	Professional		$2,709.95	$5,950.19	$7,130.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,032.46 / $2,628.65 / $5,961.89	Facility		$2,032.46	$2,628.65	$5,961.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $3,658.43	Professional		$2,709.95	$2,709.95	$3,658.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $2,845.45 / $3,793.93	Facility		$2,709.95	$2,845.45	$3,793.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,438.96 / $3,251.94 / $6,908.92	Facility		$2,438.96	$3,251.94	$6,908.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,980.95 / $2,980.95 / $3,793.93	Professional		$2,980.95	$2,980.95	$3,793.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,419.90 / $8,774.82 / $10,638.45	Facility		$5,419.90	$8,774.82	$10,638.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,330.38 / $5,329.00 / $8,523.20	Professional		$4,330.38	$5,329.00	$8,523.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,138.18 / $3,251.94	Professional		$1,138.18	$1,138.18	$3,251.94