Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,235.94	Professional		$1,479.11	$1,995.26	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
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 $2,691.53 / $3,311.31 / $4,466.84	Facility		$2,691.53	$3,311.31	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $4,786.30	Professional		$3,235.94	$3,548.13	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $4,365.16	Facility		$3,467.37	$3,630.78	$4,365.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $4,365.16	Professional		$3,630.78	$4,365.16	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $4,786.30	Facility		$1,819.70	$3,388.44	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,890.45 / $4,677.35	Professional		$87.10	$3,890.45	$4,677.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $16,982.44	Facility		$3,715.35	$6,309.57	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,897.79 / $4,897.79	Professional		$4,466.84	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $7,244.36	Facility		$2,187.76	$2,290.87	$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