Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,762.47 / $7,762.47	Facility		$1,698.24	$7,762.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,698.24	Professional		$1,071.52	$1,318.26	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,011.87	Facility		$2,818.38	$2,818.38	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,715.35 / $4,570.88	Professional		$1,737.80	$3,715.35	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,454.71	Professional		$1,698.24	$1,905.46	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,630.27	Facility		$1,737.80	$1,737.80	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $4,466.84	Facility		$1,288.25	$2,344.23	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,454.71	Professional		$79.43	$1,905.46	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $6,760.83	Facility		$2,630.27	$5,128.61	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $2,089.30	Professional		$1,380.38	$1,479.11	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,754.23	Facility		$2,089.30	$2,089.30	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $2,089.30	Professional		$724.44	$724.44	$2,089.30