Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,737.80	Professional		$776.25	$1,071.52	$1,737.80
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,801.89 / $4,786.30	Professional		$1,513.56	$3,801.89	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,238.72	Facility		$1,202.26	$1,513.56	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $2,187.76	Professional		$1,479.11	$1,584.89	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,290.87	Facility		$1,584.89	$1,949.84	$2,290.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $2,290.87	Professional		$1,778.28	$1,995.26	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,511.89	Facility		$1,023.29	$1,621.81	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,737.80 / $2,089.30	Professional		$87.10	$1,737.80	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $7,585.78	Facility		$1,659.59	$2,818.38	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,238.72	Professional		$2,041.74	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $3,890.45	Facility		$870.96	$1,071.52	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,698.24	Professional		$794.33	$891.25	$1,698.24