Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,445.44	Professional		$602.56	$831.76	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $3,801.89	Professional		$1,348.96	$2,951.21	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,584.89	Facility		$1,096.48	$1,380.38	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,995.26	Professional		$1,348.96	$1,479.11	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,819.70	Facility		$1,348.96	$1,445.44	$1,819.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $1,819.70	Professional		$1,380.38	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,041.74	Facility		$812.83	$1,412.54	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,584.89 / $1,949.84	Professional		$87.10	$1,584.89	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $7,079.46	Facility		$1,513.56	$2,570.40	$7,079.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,041.74	Professional		$1,862.09	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $3,019.95	Facility		$676.08	$1,318.26	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,318.26	Professional		$616.60	$691.83	$1,318.26