Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,060.59 / $5,060.59 / $8,830.50	Facility		$5,060.59	$5,060.59	$8,830.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.60 / $1,725.50 / $1,969.10	Professional		$1,461.60	$1,725.50	$1,969.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,298.75 / $3,298.75 / $5,898.17	Facility		$3,298.75	$3,298.75	$5,898.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $4,457.32 / $5,341.34	Professional		$2,030.00	$4,457.32	$5,341.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,502.20 / $1,969.10 / $4,466.00	Facility		$1,502.20	$1,969.10	$4,466.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,740.50	Professional		$2,030.00	$2,030.00	$2,740.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,892.34	Facility		$2,030.00	$2,030.00	$2,892.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $2,436.00 / $5,343.98	Facility		$1,522.50	$2,436.00	$5,343.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,233.00 / $2,233.00 / $2,842.00	Professional		$2,233.00	$2,233.00	$2,842.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,468.62 / $6,573.14 / $7,969.17	Facility		$5,468.62	$6,573.14	$7,969.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,243.59 / $4,759.49 / $6,384.14	Professional		$3,243.59	$4,759.49	$6,384.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $2,436.00 / $2,436.00	Facility		$2,436.00	$2,436.00	$2,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $2,131.50	Professional		$852.60	$852.60	$2,131.50