Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,467.37	Professional		$1,380.38	$2,454.71	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,943.28 / $9,332.54	Professional		$3,630.78	$7,943.28	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,630.27 / $3,981.07	Facility		$562.34	$2,630.27	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $3,801.89	Professional		$2,691.53	$3,548.13	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,630.78	Facility		$3,548.13	$3,548.13	$3,630.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,630.78	Professional		$3,548.13	$3,548.13	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,467.37 / $4,365.16	Facility		$2,290.87	$3,467.37	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $3,890.45	Professional		$79.43	$1,288.25	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,079.46 / $14,125.38	Facility		$5,128.61	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $9,332.54	Professional		$2,818.38	$5,370.32	$9,332.54