Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $14,125.38 / $14,125.38	Facility		$3,090.30	$14,125.38	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,398.83 / $3,090.30	Professional		$478.63	$2,398.83	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $9,120.11	Facility		$5,128.61	$5,128.61	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,760.83 / $8,317.64	Professional		$3,162.28	$6,760.83	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,467.37 / $4,466.84	Professional		$3,090.30	$3,467.37	$4,466.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,897.79	Facility		$2,818.38	$3,467.37	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $8,317.64	Facility		$2,344.23	$4,365.16	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,467.37 / $4,466.84	Professional		$79.43	$3,467.37	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,332.54 / $12,302.69	Facility		$4,786.30	$9,332.54	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $3,801.89	Professional		$2,511.89	$2,691.53	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,011.87	Facility		$3,801.89	$3,801.89	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,801.89	Professional		$1,318.26	$1,318.26	$3,801.89