Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $7,943.28	Facility		$2,137.96	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,162.28	Professional		$1,230.27	$1,949.84	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $8,511.38	Professional		$7,079.46	$7,079.46	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,715.35	Professional		$2,511.89	$3,090.30	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $4,570.88	Facility		$1,380.38	$2,137.96	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $4,677.35	Professional		$1,348.96	$1,862.09	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,344.23	Facility		$1,174.90	$1,659.59	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,235.94	Facility		$1,380.38	$2,137.96	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $2,454.71	Professional		$70.79	$79.43	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,897.79	Professional		$2,454.71	$3,162.28	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $5,248.07	Professional		$2,454.71	$3,630.78	$5,248.07