Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $2,951.21	Professional		$2,238.72	$2,570.40	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $8,709.64	Professional		$3,019.95	$5,248.07	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $4,365.16	Professional		$2,951.21	$3,630.78	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,265.80	Facility		$3,019.95	$3,019.95	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $6,606.93	Facility		$1,995.26	$3,548.13	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,265.80	Professional		$79.43	$3,311.31	$4,265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $10,715.19	Facility		$6,025.60	$6,025.60	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,630.78	Professional		$2,398.83	$2,570.40	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $4,265.80	Professional		$1,288.25	$1,288.25	$4,265.80