Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.40 / $1,967.76 / $9,220.69	Professional		$1,230.40	$1,967.76	$9,220.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,084.13	Professional		$1,521.41	$1,521.41	$2,084.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,264.78 / $5,834.42 / $7,609.54	Professional		$2,264.78	$5,834.42	$7,609.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,967.76 / $2,695.83 / $3,235.40	Facility		$1,967.76	$2,695.83	$3,235.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,405.65 / $3,041.28 / $3,397.17	Professional		$2,405.65	$3,041.28	$3,397.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,568.19 / $2,988.14 / $3,286.95	Facility		$2,568.19	$2,988.14	$3,286.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,911.86 / $3,235.40 / $3,558.94	Professional		$2,911.86	$3,235.40	$3,558.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,967.76 / $2,778.77 / $3,397.17	Facility		$1,967.76	$2,778.77	$3,397.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,833.03 / $3,558.94	Professional		$1,521.41	$2,833.03	$3,558.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,695.56 / $5,380.36 / $11,350.82	Facility		$2,695.56	$5,380.36	$11,350.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,782.44 / $3,558.94 / $3,558.94	Professional		$2,782.44	$3,558.94	$3,558.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,815.91 / $1,815.91 / $1,863.48	Facility		$1,815.91	$1,815.91	$1,863.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.93 / $1,374.19 / $2,633.87	Professional		$1,312.93	$1,374.19	$2,633.87