Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,824.79 / $8,812.58	Professional		$1,086.96	$1,824.79	$8,812.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,638.80	Professional		$1,196.32	$1,196.32	$1,638.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,129.41 / $5,154.74 / $6,723.07	Professional		$2,129.41	$5,154.74	$6,723.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,824.79 / $2,498.51 / $3,042.01	Facility		$1,824.79	$2,498.51	$3,042.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.86 / $2,859.49 / $3,194.11	Professional		$2,261.86	$2,859.49	$3,194.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,414.69 / $2,737.81 / $3,042.01	Facility		$2,414.69	$2,737.81	$3,042.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,626.45 / $3,042.01 / $3,042.01	Professional		$2,626.45	$3,042.01	$3,042.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,524.07 / $2,533.35 / $3,194.11	Facility		$1,524.07	$2,533.35	$3,194.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $2,663.69 / $3,346.21	Professional		$1,196.32	$2,663.69	$3,346.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,534.42 / $5,058.74 / $10,672.34	Facility		$2,534.42	$5,058.74	$10,672.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,616.13 / $3,346.21 / $3,346.21	Professional		$2,616.13	$3,346.21	$3,346.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,203.23 / $1,203.23 / $1,203.23	Facility		$1,203.23	$1,203.23	$1,203.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.29 / $1,214.06 / $2,326.94	Professional		$1,155.29	$1,214.06	$2,326.94