Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.95 / $1,430.51 / $6,797.73	Professional		$1,061.95	$1,430.51	$6,797.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $1,618.14	Facility		$1,618.14	$1,618.14	$1,618.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,181.24 / $1,618.14	Professional		$1,181.24	$1,181.24	$1,618.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,669.31 / $4,671.79 / $6,093.19	Professional		$1,669.31	$4,671.79	$6,093.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,430.51 / $1,959.80 / $2,384.73	Facility		$1,430.51	$1,959.80	$2,384.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.13 / $2,241.65 / $2,503.96	Professional		$1,773.13	$2,241.65	$2,503.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,892.93 / $2,384.73 / $2,623.20	Facility		$1,892.93	$2,384.73	$2,623.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,146.26 / $2,384.73 / $2,623.20	Professional		$2,146.26	$2,384.73	$2,623.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,430.51 / $2,088.15 / $2,503.96	Facility		$1,430.51	$2,088.15	$2,503.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $2,088.15 / $2,623.20	Professional		$1,181.24	$2,088.15	$2,623.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,986.82 / $3,965.70 / $8,366.37	Facility		$1,986.82	$3,965.70	$8,366.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,050.87 / $2,623.20 / $2,623.20	Professional		$2,050.87	$2,623.20	$2,623.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.74 / $1,100.33 / $2,099.29	Professional		$1,035.74	$1,100.33	$2,099.29