Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,311.31	Professional		$1,412.54	$1,949.84	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $7,079.46 / $9,120.11	Professional		$3,235.94	$7,079.46	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,365.16	Facility		$2,570.40	$3,235.94	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $4,677.35	Professional		$3,162.28	$3,388.44	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $4,265.80	Facility		$3,388.44	$3,630.78	$4,265.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $4,265.80	Professional		$3,630.78	$4,265.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $4,786.30	Facility		$1,819.70	$3,311.31	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,715.35 / $4,466.84	Professional		$87.10	$3,715.35	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $16,218.10	Facility		$3,548.13	$6,025.60	$16,218.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $4,786.30	Professional		$4,365.16	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $7,079.46	Facility		$1,862.09	$2,238.72	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $3,090.30	Professional		$1,479.11	$1,621.81	$3,090.30