Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,174.77 / $5,174.77 / $9,029.73	Facility		$5,174.77	$5,174.77	$9,029.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.58 / $2,013.53 / $2,013.53	Professional		$1,494.58	$2,013.53	$2,013.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,373.18 / $5,194.68 / $6,031.24	Facility		$3,373.18	$5,194.68	$6,031.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,075.17 / $2,385.08 / $2,981.34	Professional		$2,075.17	$2,385.08	$2,981.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,075.80 / $5,061.74 / $5,461.35	Professional		$2,075.80	$5,061.74	$5,461.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,536.09 / $2,214.88 / $4,329.09	Facility		$1,536.09	$2,214.88	$4,329.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.80 / $2,075.80 / $2,802.33	Professional		$2,075.80	$2,075.80	$2,802.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $2,179.59 / $2,906.12	Facility		$2,075.80	$2,179.59	$2,906.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.79 / $2,221.11 / $5,194.68	Facility		$1,390.79	$2,221.11	$5,194.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,972.01 / $2,283.38 / $2,906.12	Professional		$1,972.01	$2,283.38	$2,906.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,632.65 / $7,265.30 / $8,149.38	Facility		$3,632.65	$7,265.30	$8,149.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,421.34 / $2,289.46 / $5,116.64	Professional		$1,421.34	$2,289.46	$5,116.64
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $871.84 / $2,490.96	Professional		$871.84	$871.84	$2,490.96