Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,162.28	Professional		$1,584.89	$1,995.26	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,244.36 / $8,912.51	Professional		$2,818.38	$7,244.36	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,801.89	Facility		$2,238.72	$2,818.38	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $3,890.45	Professional		$2,691.53	$2,884.03	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $3,801.89	Facility		$3,548.13	$3,630.78	$3,801.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,630.78	Professional		$2,884.03	$2,884.03	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $4,365.16	Facility		$1,949.84	$3,019.95	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,235.94 / $3,801.89	Professional		$87.10	$3,235.94	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,128.61 / $14,125.38	Facility		$3,019.95	$5,128.61	$14,125.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,073.80	Professional		$3,715.35	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,495.41 / $7,244.36	Facility		$2,187.76	$5,495.41	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $3,162.28	Professional		$1,513.56	$1,659.59	$3,162.28