Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.63 / $1,901.22 / $10,833.10	Professional		$1,226.63	$1,901.22	$10,833.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,769.18	Professional		$1,291.50	$1,291.50	$1,769.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,188.19 / $5,997.06 / $7,821.68	Professional		$2,188.19	$5,997.06	$7,821.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.22 / $2,604.67 / $3,126.00	Facility		$1,901.22	$2,604.67	$3,126.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.30 / $2,938.44 / $3,282.30	Professional		$2,324.30	$2,938.44	$3,282.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,481.34 / $3,126.00 / $3,464.71	Facility		$2,481.34	$3,126.00	$3,464.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,813.40 / $3,126.00 / $3,464.71	Professional		$2,813.40	$3,126.00	$3,464.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $2,684.81 / $3,282.30	Facility		$1,769.18	$2,684.81	$3,282.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $2,737.23 / $3,438.60	Professional		$1,291.50	$2,737.23	$3,438.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,604.41 / $5,198.42 / $10,966.99	Facility		$2,604.41	$5,198.42	$10,966.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,688.36 / $3,438.60 / $3,438.60	Professional		$2,688.36	$3,438.60	$3,438.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.54 / $1,412.51 / $2,707.32	Professional		$1,349.54	$1,412.51	$2,707.32