Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $4,168.69	Professional		$2,089.30	$2,630.27	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $11,748.98	Professional		$3,715.35	$9,549.93	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $5,011.87	Facility		$2,951.21	$3,715.35	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $5,128.61	Professional		$3,548.13	$3,801.89	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,011.87	Facility		$4,677.35	$4,786.30	$5,011.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $5,754.40	Facility		$2,570.40	$3,981.07	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $4,265.80 / $5,128.61	Professional		$87.10	$4,265.80	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $18,620.87	Facility		$3,981.07	$6,760.83	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $5,370.32	Professional		$4,897.79	$5,370.32	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,244.36 / $9,549.93	Facility		$2,884.03	$7,244.36	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $4,168.69	Professional		$1,995.26	$2,187.76	$4,168.69