Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,300.39 / $5,300.39 / $9,248.96	Facility		$5,300.39	$5,300.39	$9,248.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.86 / $1,807.27 / $2,062.41	Professional		$1,530.86	$1,807.27	$2,062.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,455.08 / $3,455.08 / $6,177.67	Facility		$3,455.08	$3,455.08	$6,177.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $4,668.25 / $5,594.12	Professional		$2,126.19	$4,668.25	$5,594.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.39 / $2,062.41 / $4,677.64	Facility		$1,573.39	$2,062.41	$4,677.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,870.37	Professional		$2,126.19	$2,126.19	$2,870.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $3,189.30	Facility		$2,126.19	$2,126.19	$3,189.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,594.65 / $2,551.44 / $5,597.22	Facility		$1,594.65	$2,551.44	$5,597.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,338.82 / $2,338.82 / $2,976.68	Professional		$2,338.82	$2,338.82	$2,976.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,727.77 / $6,884.64 / $8,346.82	Facility		$5,727.77	$6,884.64	$8,346.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,397.37 / $4,985.05 / $6,686.83	Professional		$3,397.37	$4,985.05	$6,686.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $2,551.44 / $2,551.44	Facility		$2,551.44	$2,551.44	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $2,232.51	Professional		$893.00	$893.00	$2,232.51