Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,563.10 / $7,563.10 / $7,563.10	Facility		$7,563.10	$7,563.10	$7,563.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,184.38 / $2,578.78 / $5,916.03	Professional		$2,184.38	$2,578.78	$5,916.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,930.03 / $4,930.03 / $4,930.03	Facility		$4,930.03	$4,930.03	$4,930.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $5,379.42 / $8,687.77	Professional		$3,033.86	$5,379.42	$8,687.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,017.52 / $2,942.84 / $6,674.49	Facility		$2,017.52	$2,942.84	$6,674.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,640.63 / $4,247.39	Professional		$3,033.86	$3,640.63	$4,247.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $4,247.39	Facility		$3,033.86	$3,033.86	$4,247.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,017.52 / $3,559.36 / $6,674.49	Facility		$2,017.52	$3,559.36	$6,674.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,337.25 / $3,337.25 / $4,399.10	Professional		$3,337.25	$3,337.25	$4,399.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,848.05 / $5,103.21 / $9,560.59	Professional		$4,848.05	$5,103.21	$9,560.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.22 / $1,274.22 / $4,247.39	Professional		$1,274.22	$1,274.22	$4,247.39