Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $12,882.50	Facility		$3,311.31	$4,466.84	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,454.71 / $4,786.30	Professional		$724.44	$2,454.71	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $8,511.38	Facility		$4,786.30	$4,786.30	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $5,248.07	Professional		$1,698.24	$3,235.94	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $7,762.47	Professional		$2,951.21	$6,309.57	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,467.37	Facility		$2,951.21	$2,951.21	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $4,073.80	Professional		$2,951.21	$3,388.44	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $5,495.41	Facility		$2,951.21	$2,951.21	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $7,762.47	Facility		$2,137.96	$4,073.80	$7,762.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $4,168.69	Professional		$1,698.24	$3,235.94	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,511.38 / $11,481.54	Facility		$4,365.16	$8,511.38	$11,481.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,467.37	Professional		$2,187.76	$2,951.21	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,677.35	Facility		$3,467.37	$3,467.37	$4,677.35
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