Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.47 / $1,543.18 / $9,051.53	Professional		$1,215.47	$1,543.18	$9,051.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,549.06	Professional		$1,130.81	$1,130.81	$1,549.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.79 / $4,983.59 / $6,499.85	Professional		$1,800.79	$4,983.59	$6,499.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,543.18 / $2,114.16 / $2,572.55	Facility		$1,543.18	$2,114.16	$2,572.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.79 / $2,418.19 / $2,701.18	Professional		$1,912.79	$2,418.19	$2,701.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,042.03 / $2,572.55 / $2,829.81	Facility		$2,042.03	$2,572.55	$2,829.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,043.66 / $2,572.55 / $2,688.76	Professional		$2,043.66	$2,572.55	$2,688.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,543.18 / $2,206.75 / $2,701.18	Facility		$1,543.18	$2,206.75	$2,701.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $2,252.62 / $2,829.81	Professional		$1,130.81	$2,252.62	$2,829.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,143.31 / $4,278.06 / $9,025.35	Facility		$2,143.31	$4,278.06	$9,025.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,212.39 / $2,829.81 / $2,829.81	Professional		$2,212.39	$2,829.81	$2,829.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,104.92 / $1,173.83 / $2,297.73	Professional		$1,104.92	$1,173.83	$2,297.73