Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,265.27 / $6,265.27 / $6,265.27	Facility		$6,265.27	$6,265.27	$6,265.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.54 / $2,136.26 / $2,437.85	Professional		$1,809.54	$2,136.26	$2,437.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,084.03 / $4,084.03 / $4,084.03	Facility		$4,084.03	$4,084.03	$4,084.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $4,456.57 / $7,197.36	Professional		$2,513.25	$4,456.57	$7,197.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,261.92 / $2,638.91 / $5,529.15	Facility		$2,261.92	$2,638.91	$5,529.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,015.90 / $3,392.89 / $5,940.00	Professional		$3,015.90	$3,392.89	$5,940.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,513.25 / $2,513.25 / $3,518.55	Facility		$2,513.25	$2,513.25	$3,518.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $3,015.90 / $4,084.03	Facility		$3,015.90	$3,015.90	$4,084.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,764.58 / $2,764.58 / $4,455.00	Professional		$2,764.58	$2,764.58	$4,455.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,026.50 / $5,026.50 / $8,796.37	Facility		$5,026.50	$5,026.50	$8,796.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,892.78 / $8,325.99 / $15,568.14	Professional		$5,892.78	$8,325.99	$15,568.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,055.57 / $4,950.00	Professional		$1,055.57	$1,055.57	$4,950.00