Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.01 / $1,844.75 / $11,099.70	Professional		$1,250.01	$1,844.75	$11,099.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,289.62	Facility		$2,289.62	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $2,283.33	Professional		$1,671.42	$1,671.42	$2,283.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,123.21 / $6,111.41 / $7,970.81	Professional		$2,123.21	$6,111.41	$7,970.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,844.75 / $2,528.79 / $3,033.16	Facility		$1,844.75	$2,528.79	$3,033.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.27 / $2,851.17 / $3,184.82	Professional		$2,255.27	$2,851.17	$3,184.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,407.66 / $3,033.16 / $3,684.89	Facility		$2,407.66	$3,033.16	$3,684.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,729.84 / $3,033.16 / $3,684.89	Professional		$2,729.84	$3,033.16	$3,684.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,844.75 / $2,637.99 / $3,184.82	Facility		$1,844.75	$2,637.99	$3,184.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $2,655.94 / $3,336.48	Professional		$1,671.42	$2,655.94	$3,336.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,527.06 / $5,044.04 / $10,641.29	Facility		$2,527.06	$5,044.04	$10,641.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,608.52 / $3,336.48 / $3,336.48	Professional		$2,608.52	$3,336.48	$3,336.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.27 / $1,439.45 / $2,746.27	Professional		$1,375.27	$1,439.45	$2,746.27