Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,818.38	Professional		$1,258.93	$1,698.24	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,165.95 / $7,585.78	Professional		$2,398.83	$6,165.95	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,467.37	Facility		$1,905.46	$2,344.23	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,511.89 / $3,388.44	Professional		$2,344.23	$2,511.89	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,467.37	Facility		$2,454.71	$3,019.95	$3,467.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $3,467.37	Professional		$3,019.95	$3,090.30	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,801.89	Facility		$1,548.82	$2,570.40	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,754.23 / $3,235.94	Professional		$87.10	$2,754.23	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $12,022.64	Facility		$2,630.27	$4,466.84	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $3,467.37	Professional		$3,162.28	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $6,165.95	Facility		$1,230.27	$1,905.46	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,691.53	Professional		$1,288.25	$1,412.54	$2,691.53