Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,890.45	Professional		$1,659.59	$2,187.76	$3,890.45
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $10,000.00	Professional		$3,548.13	$7,943.28	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,677.35	Facility		$2,818.38	$3,467.37	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,715.35 / $5,011.87	Professional		$3,388.44	$3,715.35	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $4,677.35	Facility		$3,548.13	$4,570.88	$4,677.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $5,248.07	Facility		$1,995.26	$3,630.78	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $4,073.80 / $4,897.79	Professional		$87.10	$4,073.80	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $17,782.79	Facility		$3,890.45	$6,606.93	$17,782.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $5,248.07	Professional		$4,677.35	$5,248.07	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $7,943.28	Facility		$2,344.23	$2,454.71	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $3,467.37	Professional		$1,659.59	$1,819.70	$3,467.37