Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.35 / $2,396.35 / $2,396.35	Facility		$2,396.35	$2,396.35	$2,396.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.58 / $1,330.58 / $7,657.53	Professional		$1,330.58	$1,330.58	$7,657.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,074.13 / $2,217.64	Professional		$1,884.99	$2,074.13	$2,217.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,847.31 / $2,375.11 / $7,682.75	Professional		$1,847.31	$2,375.11	$7,682.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.11 / $2,147.61 / $2,639.01	Facility		$1,397.11	$2,147.61	$2,639.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $2,145.46 / $2,639.01	Professional		$250.71	$2,145.46	$2,639.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,473.53 / $2,639.01 / $3,023.21	Facility		$2,473.53	$2,639.01	$3,023.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,375.11 / $2,639.01 / $2,748.37	Professional		$2,375.11	$2,639.01	$2,748.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.58 / $2,217.64 / $2,856.04	Facility		$1,330.58	$2,217.64	$2,856.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,074.13 / $2,335.61 / $2,676.45	Professional		$2,074.13	$2,335.61	$2,676.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,752.19 / $3,752.19 / $4,413.56	Facility		$3,752.19	$3,752.19	$4,413.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,545.65 / $2,545.65 / $2,545.65	Professional		$2,545.65	$2,545.65	$2,545.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.82 / $1,324.07 / $2,562.14	Professional		$1,157.82	$1,324.07	$2,562.14