Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.80 / $1,740.93 / $1,961.18	Facility		$1,589.80	$1,740.93	$1,961.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.06 / $982.36 / $2,886.07	Professional		$487.06	$982.36	$2,886.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,976.78 / $1,976.78 / $1,976.78	Facility		$1,976.78	$1,976.78	$1,976.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.43 / $1,681.09 / $2,170.98	Professional		$1,095.43	$1,681.09	$2,170.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,575.03 / $1,861.01 / $2,133.40	Professional		$1,575.03	$1,861.01	$2,133.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.36 / $1,503.48 / $1,874.34	Facility		$982.36	$1,503.48	$1,874.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.53 / $1,354.59 / $2,351.42	Professional		$1,072.53	$1,354.59	$2,351.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,010.38 / $1,360.10 / $1,573.16	Facility		$1,010.38	$1,360.10	$1,573.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $404.27 / $449.19 / $485.21	Professional		$404.27	$449.19	$485.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,345.83 / $1,908.88 / $2,700.20	Facility		$1,345.83	$1,908.88	$2,700.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,189.23 / $1,641.60 / $2,277.56	Professional		$1,189.23	$1,641.60	$2,277.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,037.78 / $2,406.69 / $3,059.38	Facility		$2,037.78	$2,406.69	$3,059.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,384.33 / $1,798.85 / $2,191.57	Professional		$1,384.33	$1,798.85	$2,191.57
United Facility/Professional Professional Modifier Low / Median / High Price $920.35 / $965.40 / $2,460.80	Professional		$920.35	$965.40	$2,460.80