Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,265.80	Professional		$1,737.80	$2,454.71	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $8,511.38 / $10,964.78	Professional		$3,890.45	$8,511.38	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $5,370.32	Facility		$3,235.94	$3,981.07	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $5,754.40	Professional		$3,890.45	$4,265.80	$5,754.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $5,248.07	Facility		$4,168.69	$4,786.30	$5,248.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $5,248.07	Professional		$4,365.16	$5,248.07	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,466.84 / $6,456.54	Facility		$2,187.76	$4,466.84	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $4,570.88 / $5,623.41	Professional		$87.10	$4,570.88	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $20,417.38	Facility		$4,365.16	$7,413.10	$20,417.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $5,888.44	Professional		$5,370.32	$5,888.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,456.54 / $8,709.64	Facility		$2,630.27	$6,456.54	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $3,801.89	Professional		$1,819.70	$1,995.26	$3,801.89