Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,162.28	Professional		$1,445.44	$1,905.46	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,918.31 / $8,511.38	Professional		$2,951.21	$6,918.31	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,981.07	Facility		$2,344.23	$2,951.21	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $4,265.80	Professional		$2,884.03	$3,162.28	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $3,890.45	Facility		$3,090.30	$3,388.44	$3,890.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $4,365.16	Facility		$1,737.80	$3,090.30	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,388.44 / $4,073.80	Professional		$87.10	$3,388.44	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $14,791.08	Facility		$3,235.94	$5,495.41	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $4,365.16	Professional		$3,981.07	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $6,918.31	Facility		$1,445.44	$2,137.96	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $3,019.95	Professional		$1,412.54	$1,584.89	$3,019.95