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 $933.25 / $1,174.90 / $1,737.80	Professional		$933.25	$1,174.90	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $5,248.07	Professional		$1,621.81	$4,168.69	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,862.09	Facility		$1,348.96	$1,621.81	$1,862.09
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 $1,071.52 / $1,778.28 / $2,570.40	Facility		$1,071.52	$1,778.28	$2,570.40
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 $954.99 / $1,230.27 / $4,168.69	Facility		$954.99	$1,230.27	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,862.09	Professional		$870.96	$977.24	$1,862.09