Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,373.77 / $1,373.77	Professional		$1,373.77	$1,373.77	$1,373.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,561.32 / $1,561.32 / $1,561.32	Facility		$1,561.32	$1,561.32	$1,561.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,914.79 / $2,189.12 / $2,569.98	Professional		$1,914.79	$2,189.12	$2,569.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.95 / $1,695.70 / $2,189.60	Facility		$1,162.95	$1,695.70	$2,189.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $991.60 / $991.60 / $991.60	Professional		$991.60	$991.60	$991.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.66 / $858.29 / $903.46	Facility		$711.66	$858.29	$903.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.95 / $1,663.02 / $2,500.34	Facility		$1,162.95	$1,663.02	$2,500.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,139.20 / $1,910.51 / $2,363.13	Professional		$1,139.20	$1,910.51	$2,363.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,518.75 / $1,853.66 / $2,232.77	Facility		$1,518.75	$1,853.66	$2,232.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,652.49 / $2,154.79 / $2,485.29	Professional		$1,652.49	$2,154.79	$2,485.29
United Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $830.00 / $830.00	Facility		$830.00	$830.00	$830.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.73 / $1,406.01 / $2,907.27	Professional		$1,066.73	$1,406.01	$2,907.27