Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,388.44	Professional		$1,445.44	$1,995.26	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $7,244.36 / $9,120.11	Professional		$3,311.31	$7,244.36	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $4,365.16	Facility		$2,630.27	$3,235.94	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $4,677.35	Professional		$3,162.28	$3,388.44	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,265.80	Facility		$3,388.44	$4,073.80	$4,265.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $4,265.80	Professional		$3,890.45	$4,265.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $4,677.35	Facility		$2,041.74	$3,388.44	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,801.89 / $4,466.84	Professional		$87.10	$3,801.89	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $16,595.87	Facility		$3,548.13	$6,025.60	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $4,786.30	Professional		$4,365.16	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $7,244.36	Facility		$1,862.09	$2,238.72	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $3,162.28	Professional		$1,479.11	$1,659.59	$3,162.28