Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,754.23	Professional		$1,258.93	$1,659.59	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,025.60 / $7,413.10	Professional		$2,454.71	$6,025.60	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,311.31	Facility		$1,949.84	$2,454.71	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $3,548.13	Professional		$2,398.83	$2,630.27	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,235.94	Facility		$2,570.40	$3,019.95	$3,235.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,235.94	Professional		$2,884.03	$3,235.94	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $3,630.78	Facility		$1,479.11	$2,691.53	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,818.38 / $3,388.44	Professional		$87.10	$2,818.38	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $12,302.69	Facility		$2,691.53	$4,570.88	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $3,630.78	Professional		$3,311.31	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $6,025.60	Facility		$1,479.11	$1,862.09	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $2,630.27	Professional		$1,230.27	$1,380.38	$2,630.27