Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $12,882.50 / $15,848.93	Facility		$2,818.38	$12,882.50	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,715.35	Professional		$1,819.70	$2,398.83	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $10,232.93	Facility		$5,623.41	$5,623.41	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $7,585.78 / $9,120.11	Professional		$3,467.37	$7,585.78	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $4,897.79	Professional		$2,754.23	$4,168.69	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,897.79	Facility		$3,467.37	$3,467.37	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $8,709.64	Facility		$2,137.96	$4,168.69	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $3,890.45	Professional		$79.43	$79.43	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $10,715.19	Facility		$5,888.44	$8,709.64	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $4,168.69	Professional		$2,754.23	$2,951.21	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,467.37	Professional		$1,230.27	$1,230.27	$3,467.37