Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,737.80	Professional		$870.96	$1,096.48	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,981.07 / $4,897.79	Professional		$1,513.56	$3,981.07	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,089.30	Facility		$1,202.26	$1,513.56	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $2,187.76	Professional		$1,479.11	$1,584.89	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,041.74	Facility		$1,949.84	$1,995.26	$2,041.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,995.26	Professional		$1,584.89	$1,584.89	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,398.83	Facility		$1,047.13	$1,659.59	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,737.80 / $2,089.30	Professional		$87.10	$1,737.80	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $7,585.78	Facility		$1,659.59	$2,818.38	$7,585.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,238.72	Professional		$2,041.74	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,951.21 / $3,981.07	Facility		$1,000.00	$2,951.21	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,737.80	Professional		$812.83	$912.01	$1,737.80