Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,026.28 / $2,026.28 / $2,026.28	Facility		$2,026.28	$2,026.28	$2,026.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.21 / $1,222.21 / $7,034.45	Professional		$1,222.21	$1,222.21	$7,034.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $1,772.06	Facility		$1,772.06	$1,772.06	$1,772.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $1,925.80	Professional		$1,506.25	$1,772.06	$1,925.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.75 / $2,115.96 / $6,496.30	Professional		$1,645.75	$2,115.96	$6,496.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,283.32 / $2,074.08 / $2,358.66	Facility		$1,283.32	$2,074.08	$2,358.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.11 / $2,132.46 / $2,351.07	Professional		$235.11	$2,132.46	$2,351.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,351.07 / $2,406.83 / $3,037.72	Facility		$2,351.07	$2,406.83	$3,037.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,351.07 / $2,406.83 / $2,761.56	Professional		$2,351.07	$2,406.83	$2,761.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,222.21 / $2,074.08 / $2,838.73	Facility		$1,222.21	$2,074.08	$2,838.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,772.06 / $2,145.23 / $2,689.21	Professional		$1,772.06	$2,145.23	$2,689.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,446.88 / $3,446.88 / $4,054.44	Facility		$3,446.88	$3,446.88	$4,054.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,337.96 / $2,337.96 / $2,337.96	Professional		$2,337.96	$2,337.96	$2,337.96
United Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $1,343.44 / $1,791.25	Facility		$179.12	$1,343.44	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.80 / $1,216.33 / $2,337.96	Professional		$1,150.80	$1,216.33	$2,337.96