Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,388.44	Professional		$1,778.28	$2,187.76	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $7,762.47 / $9,772.37	Professional		$3,019.95	$7,762.47	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $3,162.28	Facility		$1,202.26	$2,884.03	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $4,365.16	Professional		$2,951.21	$3,162.28	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $3,981.07	Facility		$3,162.28	$3,801.89	$3,981.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $4,168.69	Professional		$3,630.78	$3,981.07	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $4,897.79	Facility		$2,041.74	$3,311.31	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,467.37 / $4,168.69	Professional		$87.10	$3,467.37	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $15,135.61	Facility		$3,311.31	$5,623.41	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $4,466.84	Professional		$4,073.80	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $5,888.44	Facility		$954.99	$2,398.83	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,467.37	Professional		$1,621.81	$1,819.70	$3,467.37