Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.19 / $1,923.19 / $1,923.19	Facility		$1,923.19	$1,923.19	$1,923.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.65 / $1,291.26 / $7,328.15	Professional		$1,269.65	$1,291.26	$7,328.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,460.50	Facility		$1,460.50	$1,460.50	$1,460.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $1,825.63	Professional		$1,241.43	$1,460.50	$1,825.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,777.91 / $2,285.88 / $6,165.80	Professional		$1,777.91	$2,285.88	$6,165.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,269.65 / $1,908.73 / $2,539.87	Facility		$1,269.65	$1,908.73	$2,539.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $1,908.73 / $2,539.87	Professional		$241.29	$1,908.73	$2,539.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,324.79 / $2,539.87 / $2,793.86	Facility		$2,324.79	$2,539.87	$2,793.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,324.79 / $2,539.87 / $2,793.86	Professional		$2,324.79	$2,539.87	$2,793.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.65 / $1,908.73 / $2,539.87	Facility		$1,269.65	$1,908.73	$2,539.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,460.50 / $2,224.00 / $2,480.34	Professional		$1,460.50	$2,224.00	$2,480.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,590.80 / $3,590.80 / $4,223.72	Facility		$3,590.80	$3,590.80	$4,223.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,417.48 / $2,417.48 / $2,417.48	Professional		$2,417.48	$2,417.48	$2,417.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.07 / $1,095.38 / $2,144.17	Professional		$1,031.07	$1,095.38	$2,144.17