Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,412.54	Professional		$1,023.29	$1,148.15	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $3,467.37	Professional		$1,288.25	$2,238.72	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,235.94	Professional		$2,454.71	$2,754.23	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,290.87	Facility		$1,047.13	$1,380.38	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,479.11	Professional		$1,000.00	$1,148.15	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,148.15	Facility		$870.96	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,290.87	Facility		$1,071.52	$1,348.96	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $3,388.44	Professional		$79.43	$2,089.30	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,981.07	Facility		$2,570.40	$3,311.31	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,090.30	Professional		$1,778.28	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $4,265.80	Facility		$2,630.27	$3,235.94	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $3,311.31	Professional		$1,412.54	$2,238.72	$3,311.31