Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,762.47 / $7,943.28	Facility		$1,698.24	$7,762.47	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,089.30	Professional		$1,148.15	$1,380.38	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,128.61	Facility		$2,884.03	$2,884.03	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $4,570.88	Professional		$1,737.80	$3,801.89	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $2,454.71	Professional		$1,698.24	$1,949.84	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,454.71	Facility		$1,737.80	$1,737.80	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $4,570.88	Facility		$1,288.25	$2,344.23	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,949.84 / $2,454.71	Professional		$79.43	$1,949.84	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $6,918.31	Facility		$2,630.27	$3,090.30	$6,918.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $2,089.30	Professional		$1,412.54	$1,479.11	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,818.38	Facility		$2,089.30	$2,089.30	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $2,089.30	Professional		$741.31	$741.31	$2,089.30