Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,737.80	Professional		$912.01	$1,318.26	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,073.80 / $5,011.87	Professional		$1,548.82	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $2,570.40	Facility		$1,230.27	$2,344.23	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,454.71	Professional		$1,621.81	$2,290.87	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,290.87	Facility		$1,995.26	$2,041.74	$2,290.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,511.89	Professional		$2,041.74	$2,041.74	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $3,311.31	Facility		$1,071.52	$1,995.26	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,238.72	Professional		$79.43	$1,778.28	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $7,762.47	Facility		$1,698.24	$2,884.03	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,290.87	Professional		$2,089.30	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $4,073.80	Facility		$1,230.27	$3,019.95	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,137.96	Professional		$933.25	$1,071.52	$2,137.96