Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,630.27	Professional		$1,202.26	$1,659.59	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $7,413.10	Professional		$2,398.83	$6,025.60	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,388.44	Facility		$1,905.46	$2,344.23	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,388.44	Professional		$2,290.87	$2,511.89	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,715.35	Facility		$2,454.71	$3,019.95	$3,715.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,715.35	Professional		$3,090.30	$3,090.30	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,801.89	Facility		$1,548.82	$2,570.40	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,691.53 / $3,311.31	Professional		$87.10	$2,691.53	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $12,022.64	Facility		$2,570.40	$4,365.16	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $3,467.37	Professional		$3,162.28	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $6,025.60	Facility		$1,819.70	$1,905.46	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,630.27	Professional		$1,258.93	$1,380.38	$2,630.27