Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $7,250.48	Facility		$3,081.45	$3,081.45	$7,250.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,008.95 / $3,008.95 / $3,081.45	Professional		$3,008.95	$3,008.95	$3,081.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,162.90 / $6,162.90 / $6,162.90	Facility		$6,162.90	$6,162.90	$6,162.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.07 / $2,414.03 / $2,892.80	Professional		$1,084.07	$2,414.03	$2,892.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,008.95 / $3,987.76 / $6,469.24	Facility		$3,008.95	$3,987.76	$6,469.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.60 / $1,061.63 / $5,809.16	Professional		$1,000.60	$1,061.63	$5,809.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,869.45 / $2,245.44 / $2,277.33	Facility		$1,869.45	$2,245.44	$2,277.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,127.12 / $3,987.76 / $6,469.24	Facility		$3,127.12	$3,987.76	$6,469.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,331.71 / $3,081.45 / $3,776.30	Professional		$2,331.71	$3,081.45	$3,776.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,301.91 / $5,164.55 / $10,182.84	Facility		$2,301.91	$5,164.55	$10,182.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04