Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,375.04 / $4,375.04 / $7,634.25	Facility		$4,375.04	$4,375.04	$7,634.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.59 / $1,491.75 / $1,702.35	Professional		$1,263.59	$1,491.75	$1,702.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,851.88 / $2,851.88 / $5,099.14	Facility		$2,851.88	$2,851.88	$5,099.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $3,853.63 / $4,617.93	Professional		$1,755.00	$3,853.63	$4,617.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,842.75 / $3,861.00	Facility		$1,316.25	$1,842.75	$3,861.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $2,369.25	Professional		$1,755.00	$1,755.00	$2,369.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,842.75 / $2,457.00	Facility		$1,755.00	$1,842.75	$2,457.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,667.25 / $2,106.00 / $4,826.45	Facility		$1,667.25	$2,106.00	$4,826.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $1,930.50 / $2,457.00	Professional		$1,930.50	$1,930.50	$2,457.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,071.25 / $6,142.50 / $6,889.95	Facility		$3,071.25	$6,142.50	$6,889.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $4,325.68 / $5,530.33	Professional		$2,106.00	$4,325.68	$5,530.33
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,755.00	Professional		$737.10	$737.10	$1,755.00