Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,495.41	Professional		$2,691.53	$3,467.37	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $12,302.69 / $15,488.17	Professional		$4,897.79	$12,302.69	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $6,606.93	Facility		$3,890.45	$4,897.79	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,128.61 / $7,079.46	Professional		$4,786.30	$5,128.61	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,456.54	Facility		$6,309.57	$6,309.57	$6,456.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $7,762.47	Facility		$3,235.94	$5,248.07	$7,762.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $5,623.41 / $6,760.83	Professional		$87.10	$5,623.41	$6,760.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,120.11 / $24,547.09	Facility		$5,370.32	$9,120.11	$24,547.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,244.36 / $7,244.36	Professional		$6,606.93	$7,244.36	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,332.54 / $12,589.25	Facility		$3,801.89	$9,332.54	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $5,495.41	Professional		$2,570.40	$2,884.03	$5,495.41