Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $4,570.88	Professional		$2,041.74	$2,754.23	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $10,000.00 / $12,302.69	Professional		$4,365.16	$10,000.00	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $5,011.87	Facility		$3,467.37	$4,365.16	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $6,165.95	Professional		$4,168.69	$4,570.88	$6,165.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,623.41 / $6,025.60	Facility		$4,570.88	$5,623.41	$6,025.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,754.40 / $6,025.60	Professional		$5,128.61	$5,754.40	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $6,456.54	Facility		$2,630.27	$4,466.84	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $4,897.79 / $6,025.60	Professional		$87.10	$4,897.79	$6,025.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,128.31 / $21,877.62	Facility		$4,786.30	$8,128.31	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,456.54 / $6,456.54	Professional		$5,888.44	$6,456.54	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $10,000.00	Facility		$3,019.95	$3,890.45	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $4,365.16	Professional		$2,041.74	$2,290.87	$4,365.16