Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $9,772.37 / $10,000.00	Facility		$2,137.96	$9,772.37	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,137.96	Professional		$1,348.96	$1,659.59	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,456.54	Facility		$3,548.13	$3,548.13	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,677.35 / $5,754.40	Professional		$2,187.76	$4,677.35	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $3,090.30	Professional		$2,137.96	$2,398.83	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,090.30	Facility		$2,187.76	$2,187.76	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $5,623.41	Facility		$1,621.81	$2,951.21	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,398.83 / $3,090.30	Professional		$79.43	$2,398.83	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $8,709.64	Facility		$3,311.31	$6,456.54	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,630.27	Professional		$1,778.28	$1,862.09	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,548.13	Facility		$2,630.27	$2,630.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,630.27	Professional		$933.25	$933.25	$2,630.27