Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $6,025.60	Facility		$1,288.25	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,698.24	Professional		$831.76	$1,047.13	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,890.45	Facility		$2,187.76	$2,187.76	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $3,548.13	Professional		$1,348.96	$2,884.03	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,862.09	Professional		$1,288.25	$1,479.11	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,862.09	Facility		$1,348.96	$1,348.96	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,388.44	Facility		$1,000.00	$1,819.70	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $1,862.09	Professional		$79.43	$1,479.11	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $5,248.07	Facility		$1,995.26	$3,890.45	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,621.81	Professional		$1,071.52	$1,148.15	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Facility		$1,621.81	$1,621.81	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,621.81	Professional		$562.34	$562.34	$1,621.81