Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,691.53	Professional		$1,412.54	$1,737.80	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,309.57 / $7,762.47	Professional		$2,454.71	$6,309.57	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,290.87 / $2,511.89	Facility		$954.99	$2,290.87	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,467.37	Professional		$2,344.23	$2,570.40	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,162.28	Facility		$2,511.89	$3,019.95	$3,162.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,162.28	Professional		$2,884.03	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $3,890.45	Facility		$1,621.81	$2,630.27	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $2,818.38 / $3,311.31	Professional		$87.10	$2,818.38	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $12,302.69	Facility		$2,630.27	$4,466.84	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $3,548.13	Professional		$3,235.94	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,905.46 / $4,677.35	Facility		$758.58	$1,905.46	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,754.23	Professional		$1,318.26	$1,445.44	$2,754.23