Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,918.31 / $6,918.31	Facility		$1,479.11	$6,918.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,949.84	Professional		$1,000.00	$1,174.90	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,466.84	Facility		$2,511.89	$2,511.89	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $4,073.80	Professional		$1,548.82	$3,311.31	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,137.96	Professional		$1,479.11	$1,698.24	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,137.96	Facility		$1,548.82	$1,548.82	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $3,890.45	Facility		$1,148.15	$2,089.30	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,698.24 / $2,137.96	Professional		$79.43	$1,698.24	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $6,025.60	Facility		$2,290.87	$4,466.84	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,862.09	Professional		$1,230.27	$1,318.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,454.71	Facility		$1,862.09	$1,862.09	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,862.09	Professional		$645.65	$645.65	$1,862.09