Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,041.74	Professional		$1,000.00	$1,380.38	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $6,165.95	Professional		$2,089.30	$5,011.87	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,818.38	Facility		$1,659.59	$2,089.30	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $3,019.95	Professional		$2,041.74	$2,187.76	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $2,754.23	Facility		$2,187.76	$2,691.53	$2,754.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $2,754.23	Professional		$2,691.53	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,090.30	Facility		$1,380.38	$2,238.72	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,398.83 / $2,884.03	Professional		$87.10	$2,398.83	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $10,471.29	Facility		$2,290.87	$3,890.45	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,090.30	Professional		$2,818.38	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $5,011.87	Facility		$1,122.02	$1,621.81	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $2,187.76	Professional		$1,023.29	$1,148.15	$2,187.76