Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,644.84 / $4,644.84 / $8,105.01	Facility		$4,644.84	$4,644.84	$8,105.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.52 / $1,583.74 / $1,807.33	Professional		$1,341.52	$1,583.74	$1,807.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,027.73 / $3,027.73 / $5,413.57	Facility		$3,027.73	$3,027.73	$5,413.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $4,090.83 / $4,902.18	Professional		$1,863.22	$4,090.83	$4,902.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.42 / $1,956.38 / $4,099.08	Facility		$1,397.42	$1,956.38	$4,099.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $1,863.22 / $2,515.35	Professional		$1,863.22	$1,863.22	$2,515.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,863.22 / $1,863.22 / $2,794.83	Facility		$1,863.22	$1,863.22	$2,794.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,770.06 / $2,235.86 / $5,123.59	Facility		$1,770.06	$2,235.86	$5,123.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,049.54 / $2,049.54 / $2,608.51	Professional		$2,049.54	$2,049.54	$2,608.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,260.64 / $6,521.27 / $7,314.82	Facility		$3,260.64	$6,521.27	$7,314.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,235.86 / $4,592.34 / $5,871.25	Professional		$2,235.86	$4,592.34	$5,871.25
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $782.55 / $1,956.38	Professional		$782.55	$782.55	$1,956.38