Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $10,232.93 / $10,232.93	Facility		$2,187.76	$10,232.93	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,187.76	Professional		$1,412.54	$1,737.80	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,606.93	Facility		$3,715.35	$3,715.35	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $6,025.60	Professional		$2,290.87	$4,897.79	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,162.28	Professional		$2,187.76	$2,754.23	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,162.28	Facility		$2,290.87	$2,290.87	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $6,025.60	Facility		$1,698.24	$3,162.28	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,511.89 / $3,162.28	Professional		$79.43	$2,511.89	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,760.83 / $8,912.51	Facility		$3,388.44	$6,760.83	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $2,754.23	Professional		$1,819.70	$1,949.84	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,630.78	Facility		$2,754.23	$2,754.23	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $2,754.23	Professional		$954.99	$954.99	$2,754.23