Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,388.44	Professional		$1,621.81	$2,089.30	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $7,413.10 / $9,332.54	Professional		$2,884.03	$7,413.10	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,890.45	Facility		$2,238.72	$2,818.38	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $4,073.80	Professional		$2,754.23	$3,019.95	$4,073.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,890.45	Facility		$3,019.95	$3,715.35	$3,890.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $3,890.45	Professional		$3,388.44	$3,801.89	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $4,570.88	Facility		$2,041.74	$3,090.30	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,311.31 / $3,981.07	Professional		$87.10	$3,311.31	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $14,454.40	Facility		$3,162.28	$5,370.32	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $4,265.80	Professional		$3,801.89	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $7,413.10	Facility		$1,698.24	$5,623.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,311.31	Professional		$1,548.82	$1,737.80	$3,311.31