Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.71 / $1,659.64 / $8,925.33	Professional		$1,050.71	$1,659.64	$8,925.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,769.38	Professional		$1,291.65	$1,291.65	$1,769.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,910.16 / $5,137.00 / $6,699.91	Professional		$1,910.16	$5,137.00	$6,699.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.64 / $2,273.71 / $2,728.80	Facility		$1,659.64	$2,273.71	$2,728.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.95 / $2,565.07 / $2,865.24	Professional		$2,028.95	$2,565.07	$2,865.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,166.04 / $2,728.80 / $3,084.54	Facility		$2,166.04	$2,728.80	$3,084.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,728.80 / $2,728.80 / $3,084.54	Professional		$2,728.80	$2,728.80	$3,084.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644.42 / $2,343.65 / $2,865.24	Facility		$1,644.42	$2,343.65	$2,865.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $2,389.42 / $3,001.68	Professional		$1,291.65	$2,389.42	$3,001.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,273.48 / $4,537.88 / $9,573.49	Facility		$2,273.48	$4,537.88	$9,573.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,346.77 / $3,001.68 / $3,001.68	Professional		$2,346.77	$3,001.68	$3,001.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.99 / $1,209.93 / $2,308.39	Professional		$1,155.99	$1,209.93	$2,308.39