Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,905.46	Professional		$1,000.00	$1,288.25	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,570.88 / $5,754.40	Professional		$1,621.81	$4,570.88	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,511.89	Facility		$1,288.25	$1,621.81	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,344.23	Professional		$1,584.89	$1,698.24	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,454.71	Facility		$1,698.24	$2,089.30	$2,454.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,454.71	Professional		$1,905.46	$2,137.96	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,630.27	Facility		$1,122.02	$1,778.28	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,862.09 / $2,238.72	Professional		$87.10	$1,862.09	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $8,128.31	Facility		$1,778.28	$3,019.95	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,398.83	Professional		$2,187.76	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,467.37 / $4,570.88	Facility		$1,047.13	$3,467.37	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $2,041.74	Professional		$954.99	$1,071.52	$2,041.74