Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,951.21	Professional		$1,513.56	$2,041.74	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $9,120.11	Professional		$2,570.40	$7,244.36	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,630.78	Facility		$2,041.74	$2,570.40	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,715.35	Professional		$2,511.89	$2,754.23	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $3,801.89	Facility		$3,311.31	$3,388.44	$3,801.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,466.84	Facility		$1,862.09	$2,884.03	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,951.21 / $3,548.13	Professional		$87.10	$2,951.21	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $12,882.50	Facility		$2,818.38	$4,786.30	$12,882.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $3,801.89	Professional		$3,467.37	$3,801.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $7,413.10	Facility		$1,819.70	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $3,235.94	Professional		$1,513.56	$1,698.24	$3,235.94