Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,445.44	Professional		$645.65	$851.14	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $3,801.89	Professional		$1,348.96	$3,090.30	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,778.28	Facility		$1,071.52	$1,318.26	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,905.46	Professional		$1,288.25	$1,412.54	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,737.80	Facility		$1,380.38	$1,621.81	$1,737.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,737.80	Professional		$1,584.89	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,089.30	Facility		$812.83	$1,380.38	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,548.82 / $1,862.09	Professional		$87.10	$1,548.82	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $6,760.83	Facility		$1,479.11	$2,454.71	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $1,949.84	Professional		$1,778.28	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,344.23 / $3,090.30	Facility		$870.96	$2,344.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,348.96	Professional		$645.65	$707.95	$1,348.96