Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,511.38 / $8,511.38	Facility		$1,819.70	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $3,467.37	Professional		$1,258.93	$1,479.11	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,495.41	Facility		$3,090.30	$3,090.30	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $5,011.87	Professional		$1,905.46	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,570.40	Facility		$1,819.70	$1,905.46	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,630.27	Professional		$1,819.70	$2,089.30	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,951.21	Facility		$1,698.24	$2,089.30	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $5,011.87	Facility		$1,698.24	$2,630.27	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,630.27	Professional		$79.43	$2,089.30	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $7,413.10	Facility		$2,818.38	$5,623.41	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,290.87	Professional		$1,513.56	$1,621.81	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,019.95	Facility		$2,290.87	$2,290.87	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $2,290.87	Professional		$794.33	$794.33	$2,290.87