Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,621.81	Professional		$776.25	$977.24	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,548.13 / $4,466.84	Professional		$1,380.38	$3,548.13	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,737.80	Facility		$1,348.96	$1,348.96	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,905.46	Professional		$1,318.26	$1,445.44	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,862.09	Facility		$1,412.54	$1,737.80	$1,862.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,862.09	Professional		$1,621.81	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,290.87	Facility		$1,023.29	$1,513.56	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,584.89 / $1,862.09	Professional		$87.10	$1,584.89	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $6,918.31	Facility		$1,513.56	$2,570.40	$6,918.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $1,995.26	Professional		$1,819.70	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,691.53 / $3,548.13	Facility		$812.83	$2,691.53	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,548.82	Professional		$741.31	$812.83	$1,548.82