Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $22,387.21 / $22,387.21	Facility		$4,897.79	$22,387.21	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,011.87	Professional		$3,388.44	$4,265.80	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $14,454.40	Facility		$8,128.31	$8,128.31	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $13,182.57	Professional		$5,011.87	$10,715.19	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $7,079.46	Professional		$4,897.79	$5,495.41	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $7,079.46	Facility		$5,011.87	$5,011.87	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $13,182.57	Facility		$3,715.35	$6,918.31	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,495.41 / $7,079.46	Professional		$79.43	$5,495.41	$7,079.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $14,791.08 / $19,498.45	Facility		$7,585.78	$14,791.08	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $6,025.60	Professional		$3,981.07	$4,265.80	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,943.28	Facility		$6,025.60	$6,025.60	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $6,025.60	Professional		$2,089.30	$2,089.30	$6,025.60