Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,949.84	Professional		$851.14	$1,047.13	$1,949.84
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $4,897.79	Professional		$1,737.80	$3,801.89	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Facility		$1,412.54	$1,778.28	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,570.40	Professional		$1,737.80	$1,905.46	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,344.23	Facility		$1,737.80	$1,862.09	$2,344.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,344.23	Professional		$1,778.28	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $2,630.27	Facility		$1,000.00	$1,819.70	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,041.74 / $2,454.71	Professional		$87.10	$2,041.74	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $8,912.51	Facility		$1,949.84	$3,311.31	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,630.27	Professional		$2,398.83	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $3,801.89	Facility		$1,148.15	$1,202.26	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,659.59	Professional		$794.33	$870.96	$1,659.59