Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,715.35	Professional		$1,905.46	$2,398.83	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $8,511.38 / $10,715.19	Professional		$3,311.31	$8,511.38	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $4,168.69	Facility		$3,162.28	$3,235.94	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,570.88	Professional		$3,162.28	$3,467.37	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $4,466.84	Facility		$3,388.44	$4,168.69	$4,466.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,466.84	Professional		$4,365.16	$4,365.16	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,495.41	Facility		$2,290.87	$3,548.13	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,801.89 / $4,570.88	Professional		$87.10	$3,801.89	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $16,595.87	Facility		$3,630.78	$6,165.95	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $4,897.79	Professional		$4,365.16	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,456.54 / $8,511.38	Facility		$2,630.27	$6,456.54	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $3,801.89	Professional		$1,778.28	$1,949.84	$3,801.89