Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,041.74	Professional		$891.25	$1,230.27	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $5,495.41	Professional		$1,584.89	$4,466.84	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,290.87	Facility		$1,258.93	$1,548.82	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,238.72	Professional		$1,513.56	$1,659.59	$2,238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,187.76	Facility		$1,621.81	$1,995.26	$2,187.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,187.76	Professional		$1,862.09	$2,041.74	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,691.53	Facility		$1,096.48	$1,778.28	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,778.28 / $2,137.96	Professional		$87.10	$1,778.28	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $7,943.28	Facility		$1,698.24	$2,884.03	$7,943.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,290.87	Professional		$2,089.30	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $4,466.84	Facility		$1,348.96	$1,445.44	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,949.84	Professional		$933.25	$1,023.29	$1,949.84