Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $12,882.50 / $13,182.57	Facility		$2,818.38	$12,882.50	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,467.37	Professional		$1,905.46	$2,290.87	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $8,511.38	Facility		$4,786.30	$4,786.30	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $7,762.47	Professional		$2,951.21	$6,309.57	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $4,073.80	Professional		$2,818.38	$3,235.94	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,073.80	Facility		$2,951.21	$2,951.21	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,413.10	Facility		$2,137.96	$3,981.07	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,235.94 / $4,073.80	Professional		$79.43	$3,235.94	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,511.38 / $11,481.54	Facility		$4,365.16	$8,511.38	$11,481.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $3,467.37	Professional		$2,344.23	$2,454.71	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,677.35	Facility		$3,467.37	$3,467.37	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,467.37	Professional		$1,230.27	$1,230.27	$3,467.37