Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,413.64 / $4,413.64 / $7,701.59	Facility		$4,413.64	$4,413.64	$7,701.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.75 / $1,504.91 / $1,717.37	Professional		$1,274.75	$1,504.91	$1,717.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,877.03 / $2,877.03 / $5,144.12	Facility		$2,877.03	$2,877.03	$5,144.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $3,887.01 / $4,657.93	Professional		$1,770.48	$3,887.01	$4,657.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,327.86 / $1,859.00 / $3,895.06	Facility		$1,327.86	$1,859.00	$3,895.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $1,770.48 / $2,390.15	Professional		$1,770.48	$1,770.48	$2,390.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,770.48 / $1,770.48 / $2,478.67	Facility		$1,770.48	$1,770.48	$2,478.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,681.96 / $2,124.58 / $4,869.60	Facility		$1,681.96	$2,124.58	$4,869.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,947.53 / $1,947.53 / $2,478.67	Professional		$1,947.53	$1,947.53	$2,478.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,098.34 / $6,196.68 / $6,950.73	Facility		$3,098.34	$6,196.68	$6,950.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,124.58 / $4,364.24 / $5,579.63	Professional		$2,124.58	$4,364.24	$5,579.63
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $743.60 / $1,859.00	Professional		$743.60	$743.60	$1,859.00