Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,480.27 / $5,480.27 / $9,562.82	Facility		$5,480.27	$5,480.27	$9,562.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,582.81 / $1,868.60 / $2,132.40	Professional		$1,582.81	$1,868.60	$2,132.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,572.33 / $3,572.33 / $6,387.32	Facility		$3,572.33	$3,572.33	$6,387.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $4,826.62 / $5,783.90	Professional		$2,198.35	$4,826.62	$5,783.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,648.76 / $2,132.40 / $4,836.37	Facility		$1,648.76	$2,132.40	$4,836.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,967.77	Professional		$2,198.35	$2,198.35	$2,967.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,308.27 / $3,077.69	Facility		$2,198.35	$2,308.27	$3,077.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,978.52 / $2,638.02 / $5,604.16	Facility		$1,978.52	$2,638.02	$5,604.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,418.19 / $2,418.19 / $3,077.69	Professional		$2,418.19	$2,418.19	$3,077.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,396.70 / $7,118.26 / $8,630.06	Facility		$4,396.70	$7,118.26	$8,630.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,512.71 / $4,322.54 / $6,913.84	Professional		$3,512.71	$4,322.54	$6,913.84
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $923.31 / $2,308.27	Professional		$923.31	$923.31	$2,308.27