Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $8,878.56 / $20,400.00	Facility		$5,116.62	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.58 / $2,697.06 / $8,442.82	Professional		$1,813.58	$2,697.06	$8,442.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,293.95 / $5,067.70 / $7,927.02	Professional		$3,293.95	$5,067.70	$7,927.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,297.18 / $5,312.88 / $6,391.42	Professional		$4,297.18	$5,312.88	$6,391.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,175.40 / $4,034.62 / $6,820.75	Facility		$3,175.40	$4,034.62	$6,820.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,067.54 / $4,600.39 / $8,177.67	Professional		$4,067.54	$4,600.39	$8,177.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,157.71 / $4,698.71 / $5,400.87	Facility		$3,157.71	$4,698.71	$5,400.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,215.24 / $4,659.57 / $6,902.56	Facility		$3,215.24	$4,659.57	$6,902.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,282.88 / $5,208.49 / $7,528.75	Professional		$4,282.88	$5,208.49	$7,528.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,947.31 / $5,830.17 / $8,573.29	Professional		$4,947.31	$5,830.17	$8,573.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $5,517.00 / $7,385.00	Facility		$2,364.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,515.14 / $5,130.45 / $8,043.52	Professional		$3,515.14	$5,130.45	$8,043.52