Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $11,481.54 / $11,481.54	Facility		$2,511.89	$11,481.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,511.89	Professional		$1,584.89	$1,995.26	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $7,413.10	Facility		$4,168.69	$4,168.69	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $6,760.83	Professional		$2,570.40	$5,495.41	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,818.38 / $3,630.78	Professional		$2,511.89	$2,818.38	$3,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,630.78	Facility		$2,570.40	$2,570.40	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $6,606.93	Facility		$1,949.84	$3,548.13	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $3,630.78	Professional		$79.43	$2,818.38	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $10,000.00	Facility		$3,890.45	$7,585.78	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $3,090.30	Professional		$2,041.74	$2,187.76	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,073.80	Facility		$3,090.30	$3,090.30	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $3,090.30	Professional		$1,071.52	$1,071.52	$3,090.30