Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,089.30	Professional		$933.25	$1,258.93	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $5,623.41	Professional		$1,584.89	$4,466.84	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,398.83	Facility		$1,258.93	$1,584.89	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,290.87	Professional		$1,548.82	$1,698.24	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,344.23	Facility		$1,659.59	$2,041.74	$2,344.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,344.23	Professional		$1,862.09	$2,089.30	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,691.53	Facility		$1,122.02	$1,819.70	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,819.70 / $2,187.76	Professional		$87.10	$1,819.70	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $7,943.28	Facility		$1,737.80	$2,951.21	$7,943.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,344.23	Professional		$2,137.96	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $4,570.88	Facility		$776.25	$1,412.54	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,995.26	Professional		$933.25	$1,047.13	$1,995.26