Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $13,803.84	Facility		$5,370.32	$6,918.31	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $7,244.36	Professional		$2,041.74	$2,691.53	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $7,413.10	Professional		$2,884.03	$4,786.30	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $5,623.41	Professional		$2,398.83	$4,786.30	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $8,128.31	Facility		$2,570.40	$4,073.80	$8,128.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $6,918.31	Professional		$3,981.07	$4,570.88	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $5,370.32	Facility		$3,715.35	$5,011.87	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $6,606.93	Facility		$2,630.27	$3,801.89	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,897.79 / $7,079.46	Professional		$79.43	$4,897.79	$7,079.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $7,943.28	Professional		$4,897.79	$5,623.41	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,897.79 / $7,413.10	Professional		$3,090.30	$4,897.79	$7,413.10