Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,786.30	Professional		$2,398.83	$3,090.30	$4,786.30
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 $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $11,220.18 / $13,803.84	Professional		$4,466.84	$11,220.18	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $6,309.57	Facility		$3,548.13	$4,365.16	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,786.30 / $6,309.57	Professional		$4,265.80	$4,786.30	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,888.44 / $6,165.95	Facility		$5,623.41	$5,888.44	$6,165.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $8,511.38	Facility		$3,090.30	$5,011.87	$8,511.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,128.61 / $6,165.95	Professional		$79.43	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,317.64 / $22,387.21	Facility		$4,897.79	$8,317.64	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,606.93 / $6,606.93	Professional		$5,888.44	$6,606.93	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $8,317.64 / $11,220.18	Facility		$3,388.44	$8,317.64	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $4,897.79	Professional		$2,290.87	$2,570.40	$4,897.79