Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.64 / $1,577.90 / $8,141.04	Professional		$1,010.64	$1,577.90	$8,141.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,823.10	Professional		$1,330.86	$1,330.86	$1,823.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,816.07 / $4,940.97 / $6,444.26	Professional		$1,816.07	$4,940.97	$6,444.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,577.90 / $2,161.71 / $2,594.39	Facility		$1,577.90	$2,161.71	$2,594.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.02 / $2,438.73 / $2,724.11	Professional		$1,929.02	$2,438.73	$2,724.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,059.36 / $2,594.39 / $2,853.83	Facility		$2,059.36	$2,594.39	$2,853.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,334.94 / $2,594.39 / $2,850.32	Professional		$2,334.94	$2,594.39	$2,850.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,577.90 / $2,228.21 / $2,724.11	Facility		$1,577.90	$2,228.21	$2,724.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $2,271.73 / $2,853.83	Professional		$1,330.86	$2,271.73	$2,853.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,161.50 / $4,314.38 / $9,101.95	Facility		$2,161.50	$4,314.38	$9,101.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,231.17 / $2,853.83 / $2,853.83	Professional		$2,231.17	$2,853.83	$2,853.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.91 / $1,163.79 / $2,230.60	Professional		$1,111.91	$1,163.79	$2,230.60