Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,041.74	Professional		$870.96	$1,202.26	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $5,370.32	Professional		$1,698.24	$4,365.16	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,290.87	Facility		$1,348.96	$1,698.24	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,454.71	Professional		$1,659.59	$1,819.70	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $2,238.72	Facility		$1,778.28	$1,995.26	$2,238.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $2,238.72	Professional		$1,995.26	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,754.23	Facility		$1,122.02	$1,862.09	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,949.84 / $2,344.23	Professional		$87.10	$1,949.84	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $8,511.38	Facility		$1,862.09	$3,162.28	$8,511.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,511.89	Professional		$2,290.87	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $4,365.16	Facility		$1,000.00	$1,412.54	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,905.46	Professional		$912.01	$1,000.00	$1,905.46