Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,570.54 / $8,570.54 / $14,955.20	Facility		$8,570.54	$8,570.54	$14,955.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.35 / $2,922.29 / $3,334.84	Professional		$2,475.35	$2,922.29	$3,334.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,586.73 / $5,586.73 / $9,989.06	Facility		$5,586.73	$5,586.73	$9,989.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $7,548.89 / $9,046.06	Professional		$3,437.98	$7,548.89	$9,046.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,544.11 / $3,334.84 / $7,563.56	Facility		$2,544.11	$3,334.84	$7,563.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $3,437.98 / $4,641.27	Professional		$3,437.98	$3,437.98	$4,641.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,437.98 / $3,437.98 / $5,156.97	Facility		$3,437.98	$3,437.98	$5,156.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,578.48 / $4,125.58 / $9,455.36	Facility		$2,578.48	$4,125.58	$9,455.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,781.78 / $3,781.78 / $4,813.17	Professional		$3,781.78	$3,781.78	$4,813.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,016.47 / $12,032.93 / $13,497.17	Facility		$6,016.47	$12,032.93	$13,497.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,125.58 / $8,474.12 / $10,834.07	Professional		$4,125.58	$8,474.12	$10,834.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $1,443.95 / $4,125.58	Professional		$1,443.95	$1,443.95	$4,125.58