Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $17,378.01 / $17,782.79	Facility		$3,801.89	$17,378.01	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $4,677.35	Professional		$2,454.71	$3,090.30	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $11,481.54	Facility		$6,309.57	$6,309.57	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $8,511.38 / $10,232.93	Professional		$3,630.78	$8,511.38	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,495.41	Facility		$3,630.78	$3,630.78	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $5,011.87	Professional		$3,630.78	$4,265.80	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,466.84	Facility		$3,630.78	$3,890.45	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $10,232.93	Facility		$2,884.03	$5,011.87	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,265.80 / $5,370.32	Professional		$79.43	$4,265.80	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $11,748.98 / $16,218.10	Facility		$5,370.32	$11,748.98	$16,218.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $4,265.80	Professional		$2,884.03	$3,019.95	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,677.35	Professional		$1,659.59	$1,659.59	$4,677.35