Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $5,248.07 / $6,606.93	Professional		$1,862.09	$5,248.07	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,137.96	Facility		$1,548.82	$1,862.09	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $2,630.27	Professional		$1,819.70	$1,949.84	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,454.71	Facility		$1,949.84	$2,398.83	$2,454.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $2,454.71	Professional		$2,187.76	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,311.31	Facility		$1,318.26	$2,089.30	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,137.96 / $2,570.40	Professional		$87.10	$2,137.96	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $9,332.54	Facility		$2,041.74	$3,467.37	$9,332.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $2,754.23	Professional		$2,511.89	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $5,248.07	Facility		$1,621.81	$1,659.59	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $2,344.23	Professional		$1,096.48	$1,202.26	$2,344.23