Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.58 / $1,938.95 / $8,485.99	Professional		$1,076.58	$1,938.95	$8,485.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $1,552.76	Facility		$1,552.76	$1,552.76	$1,552.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $1,552.76	Professional		$1,133.51	$1,133.51	$1,552.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,231.61 / $5,263.41 / $6,864.80	Professional		$2,231.61	$5,263.41	$6,864.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,938.95 / $2,551.23 / $3,188.02	Facility		$1,938.95	$2,551.23	$3,188.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,370.42 / $2,996.74 / $3,347.42	Professional		$2,370.42	$2,996.74	$3,347.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,869.22 / $3,142.63 / $3,539.86	Facility		$2,869.22	$3,142.63	$3,539.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,270.23 / $2,270.23 / $2,270.23	Professional		$2,270.23	$2,270.23	$2,270.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,597.22 / $2,656.36 / $3,347.42	Facility		$1,597.22	$2,656.36	$3,347.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $2,791.55 / $3,506.82	Professional		$1,133.51	$2,791.55	$3,506.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,656.09 / $5,301.58 / $11,184.62	Facility		$2,656.09	$5,301.58	$11,184.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,741.70 / $3,506.82 / $3,506.82	Professional		$2,741.70	$3,506.82	$3,506.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.45 / $1,239.72 / $2,365.23	Professional		$1,184.45	$1,239.72	$2,365.23