Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,128.61 / $15,135.61	Facility		$630.96	$5,128.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $6,025.60	Professional		$1,000.00	$2,754.23	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $9,549.93	Facility		$5,370.32	$5,370.32	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $6,025.60	Professional		$1,949.84	$3,630.78	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $7,079.46 / $8,709.64	Professional		$3,311.31	$7,079.46	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $3,890.45	Facility		$3,235.94	$3,311.31	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,677.35	Professional		$3,311.31	$3,801.89	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,309.57	Facility		$3,311.31	$3,311.31	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $8,709.64	Facility		$2,454.71	$4,570.88	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $4,786.30	Professional		$1,949.84	$3,630.78	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,772.37 / $13,182.57	Facility		$5,011.87	$9,772.37	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,981.07	Professional		$2,511.89	$3,019.95	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $5,370.32	Facility		$3,981.07	$3,981.07	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,981.07	Professional		$1,380.38	$1,380.38	$3,981.07