Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,412.54	Professional		$660.69	$891.25	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $3,981.07	Professional		$1,288.25	$3,235.94	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Facility		$1,023.29	$1,288.25	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,862.09	Professional		$1,258.93	$1,348.96	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,698.24	Facility		$1,348.96	$1,659.59	$1,698.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,698.24	Professional		$1,659.59	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,041.74	Facility		$812.83	$1,380.38	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,479.11 / $1,778.28	Professional		$87.10	$1,479.11	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $6,456.54	Facility		$1,412.54	$2,398.83	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $1,905.46	Professional		$1,737.80	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,398.83 / $3,235.94	Facility		$851.14	$2,398.83	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,412.54	Professional		$676.08	$741.31	$1,412.54