Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $6,456.54	Facility		$2,818.38	$3,890.45	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,890.45	Professional		$2,818.38	$2,818.38	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $5,370.32	Facility		$2,630.27	$4,466.84	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,162.28	Professional		$2,818.38	$2,818.38	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $6,918.31	Professional		$2,818.38	$5,754.40	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $5,248.07	Facility		$2,818.38	$3,019.95	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,981.07	Professional		$2,754.23	$3,019.95	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,623.41	Facility		$2,691.53	$3,388.44	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $5,128.61	Facility		$2,818.38	$2,951.21	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,884.03 / $3,548.13	Professional		$79.43	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $8,128.31	Facility		$2,454.71	$4,677.35	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,981.07	Professional		$2,691.53	$2,818.38	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $6,760.83	Facility		$2,818.38	$2,818.38	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,162.28	Professional		$2,818.38	$2,818.38	$3,162.28