Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.51 / $1,367.95 / $8,762.03	Professional		$1,113.51	$1,367.95	$8,762.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,703.99	Professional		$1,243.91	$1,243.91	$1,703.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,594.34 / $4,824.51 / $6,292.35	Professional		$1,594.34	$4,824.51	$6,292.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,366.26 / $1,871.78 / $2,277.63	Facility		$1,366.26	$1,871.78	$2,277.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.51 / $2,140.96 / $2,391.51	Professional		$1,693.51	$2,140.96	$2,391.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,807.93 / $2,250.13 / $2,505.39	Facility		$1,807.93	$2,250.13	$2,505.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,935.99 / $2,277.63 / $2,304.13	Professional		$1,935.99	$2,277.63	$2,304.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,366.26 / $1,994.37 / $2,391.51	Facility		$1,366.26	$1,994.37	$2,391.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,994.37 / $2,505.39	Professional		$1,243.91	$1,994.37	$2,505.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,897.59 / $3,787.62 / $7,990.64	Facility		$1,897.59	$3,787.62	$7,990.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,958.76 / $2,505.39 / $2,505.39	Professional		$1,958.76	$2,505.39	$2,505.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.28 / $1,136.29 / $2,167.88	Professional		$1,081.28	$1,136.29	$2,167.88