Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,691.53	Professional		$1,380.38	$1,778.28	$2,691.53
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $7,943.28	Professional		$2,398.83	$6,456.54	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $3,162.28	Facility		$933.25	$2,238.72	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,388.44	Professional		$2,290.87	$2,511.89	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,090.30	Facility		$2,454.71	$2,951.21	$3,090.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,090.30	Professional		$2,818.38	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $4,168.69	Facility		$1,621.81	$2,570.40	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,691.53 / $3,311.31	Professional		$87.10	$2,691.53	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $12,022.64	Facility		$2,570.40	$4,365.16	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $3,467.37	Professional		$3,162.28	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $4,786.30	Facility		$776.25	$1,949.84	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $2,818.38	Professional		$1,318.26	$1,479.11	$2,818.38