Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,238.72	Professional		$1,023.29	$1,348.96	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $6,025.60	Professional		$1,905.46	$4,897.79	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,691.53	Facility		$1,513.56	$1,905.46	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,754.23	Professional		$1,862.09	$1,995.26	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,570.40	Facility		$1,995.26	$2,454.71	$2,570.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $2,570.40	Professional		$2,238.72	$2,511.89	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,884.03	Facility		$1,288.25	$2,041.74	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,187.76 / $2,630.27	Professional		$87.10	$2,187.76	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $9,549.93	Facility		$2,089.30	$3,548.13	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $2,818.38	Professional		$2,570.40	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $4,897.79	Facility		$977.24	$1,513.56	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $2,137.96	Professional		$1,023.29	$1,122.02	$2,137.96