Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.26 / $1,858.10 / $11,179.20	Professional		$1,291.26	$1,858.10	$11,179.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,815.81	Professional		$1,325.54	$1,325.54	$1,815.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,168.29 / $6,155.43 / $8,028.24	Professional		$2,168.29	$6,155.43	$8,028.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.10 / $2,545.60 / $3,097.55	Facility		$1,858.10	$2,545.60	$3,097.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,303.13 / $2,911.70 / $3,252.43	Professional		$2,303.13	$2,911.70	$3,252.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,458.75 / $3,024.95 / $3,339.50	Facility		$2,458.75	$3,024.95	$3,339.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,458.75 / $3,097.55 / $3,097.55	Professional		$2,458.75	$3,097.55	$3,097.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $2,657.08 / $3,252.43	Facility		$1,815.81	$2,657.08	$3,252.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $2,712.32 / $3,407.31	Professional		$1,325.54	$2,712.32	$3,407.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,580.69 / $5,151.10 / $10,867.18	Facility		$2,580.69	$5,151.10	$10,867.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,663.89 / $3,407.31 / $3,407.31	Professional		$2,663.89	$3,407.31	$3,407.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.57 / $1,449.74 / $2,778.68	Professional		$1,379.57	$1,449.74	$2,778.68