Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $4,168.69	Professional		$2,187.76	$2,691.53	$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 $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $9,772.37 / $12,022.64	Professional		$3,801.89	$9,772.37	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,548.13 / $4,786.30	Facility		$1,479.11	$3,548.13	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,370.32	Professional		$3,630.78	$3,981.07	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $4,897.79	Facility		$3,890.45	$4,786.30	$4,897.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,897.79 / $4,897.79	Professional		$4,466.84	$4,897.79	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $5,888.44	Facility		$2,511.89	$4,073.80	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $4,365.16 / $5,248.07	Professional		$87.10	$4,365.16	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,918.31 / $19,054.61	Facility		$4,168.69	$6,918.31	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $5,495.41	Professional		$5,011.87	$5,495.41	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,951.21 / $7,244.36	Facility		$1,174.90	$2,951.21	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $4,265.80	Professional		$2,041.74	$2,238.72	$4,265.80