Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,691.53	Professional		$1,288.25	$1,737.80	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,309.57 / $7,762.47	Professional		$2,344.23	$6,309.57	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,235.94	Facility		$1,862.09	$2,344.23	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,388.44	Professional		$2,290.87	$2,511.89	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,090.30	Facility		$2,454.71	$3,019.95	$3,090.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $3,090.30	Professional		$3,019.95	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $3,981.07	Facility		$1,584.89	$2,630.27	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,691.53 / $3,235.94	Professional		$87.10	$2,691.53	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $11,748.98	Facility		$2,570.40	$4,365.16	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $3,467.37	Professional		$3,162.28	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $6,309.57	Facility		$1,445.44	$2,137.96	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,754.23	Professional		$1,318.26	$1,445.44	$2,754.23