Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $4,786.30	Professional		$2,238.72	$2,884.03	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $9,772.37 / $12,022.64	Professional		$3,981.07	$9,772.37	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $5,623.41	Facility		$3,162.28	$3,981.07	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $5,888.44	Professional		$3,981.07	$4,897.79	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,248.07 / $5,754.40	Facility		$5,128.61	$5,248.07	$5,754.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $7,079.46	Facility		$2,884.03	$4,365.16	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $4,570.88 / $5,495.41	Professional		$87.10	$4,570.88	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $19,952.62	Facility		$4,365.16	$7,413.10	$19,952.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $5,888.44	Professional		$5,370.32	$5,888.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,413.10 / $9,772.37	Facility		$2,951.21	$7,413.10	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $4,265.80	Professional		$2,137.96	$2,238.72	$4,265.80