Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,897.79	Professional		$2,290.87	$3,162.28	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $11,220.18 / $14,125.38	Professional		$4,897.79	$11,220.18	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $6,456.54	Facility		$3,890.45	$4,786.30	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $6,918.31	Professional		$4,677.35	$5,128.61	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $6,309.57	Facility		$5,011.87	$6,165.95	$6,309.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,309.57 / $6,309.57	Professional		$5,754.40	$6,309.57	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $7,585.78	Facility		$3,019.95	$5,248.07	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $5,623.41 / $6,606.93	Professional		$87.10	$5,623.41	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,120.11 / $24,547.09	Facility		$5,370.32	$9,120.11	$24,547.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,079.46 / $7,079.46	Professional		$6,456.54	$7,079.46	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,511.38 / $11,220.18	Facility		$3,467.37	$8,511.38	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $5,011.87	Professional		$2,344.23	$2,630.27	$5,011.87