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 / $8,482.50	Facility		$4,375.04	$4,375.04	$8,482.50
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 $3,168.75 / $3,168.75 / $5,665.73	Facility		$3,168.75	$3,168.75	$5,665.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $4,281.18 / $5,130.28	Professional		$1,950.00	$4,281.18	$5,130.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.70 / $1,702.35 / $4,290.00	Facility		$1,298.70	$1,702.35	$4,290.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,730.00	Professional		$1,950.00	$2,340.00	$2,730.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,047.50 / $2,730.00	Facility		$1,950.00	$2,047.50	$2,730.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $2,340.00 / $4,879.88	Facility		$1,316.25	$2,340.00	$4,879.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $2,145.00 / $2,544.75	Professional		$1,930.50	$2,145.00	$2,544.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,727.79 / $5,682.69 / $7,655.12	Facility		$4,727.79	$5,682.69	$7,655.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,804.43 / $4,557.52 / $5,519.78	Professional		$2,804.43	$4,557.52	$5,519.78
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,755.00	Professional		$737.10	$737.10	$1,755.00