Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,571.07 / $1,571.07 / $1,571.07	Professional		$1,571.07	$1,571.07	$1,571.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,621.52 / $3,621.52 / $3,621.52	Facility		$3,621.52	$3,621.52	$3,621.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,920.31 / $2,195.42 / $2,577.39	Professional		$1,920.31	$2,195.42	$2,577.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.15 / $1,700.66 / $2,189.60	Facility		$1,166.15	$1,700.66	$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 / $936.40	Facility		$711.66	$858.29	$936.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.15 / $1,667.59 / $2,507.21	Facility		$1,166.15	$1,667.59	$2,507.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,176.25 / $1,916.00 / $2,721.49	Professional		$1,176.25	$1,916.00	$2,721.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,423.94 / $4,284.59 / $5,323.32	Facility		$3,423.94	$4,284.59	$5,323.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,656.27 / $2,281.81 / $2,490.98	Professional		$1,656.27	$2,281.81	$2,490.98
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 $1,063.56 / $1,210.09 / $2,905.92	Professional		$1,063.56	$1,210.09	$2,905.92