Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.48 / $1,469.13 / $6,636.20	Professional		$1,222.48	$1,469.13	$6,636.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $1,800.00	Professional		$1,314.00	$1,314.00	$1,800.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.89 / $4,840.12 / $6,312.73	Professional		$1,690.89	$4,840.12	$6,312.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,469.13 / $2,012.71 / $2,415.55	Facility		$1,469.13	$2,012.71	$2,415.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.05 / $2,270.62 / $2,536.33	Professional		$1,796.05	$2,270.62	$2,536.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,917.40 / $2,415.55 / $2,657.11	Facility		$1,917.40	$2,415.55	$2,657.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,918.94 / $2,415.55 / $2,657.11	Professional		$1,918.94	$2,415.55	$2,657.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,469.13 / $2,074.63 / $2,536.33	Facility		$1,469.13	$2,074.63	$2,536.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $2,115.14 / $2,657.11	Professional		$1,314.00	$2,115.14	$2,657.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,012.50 / $4,016.96 / $8,474.52	Facility		$2,012.50	$4,016.96	$8,474.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,077.37 / $2,657.11 / $2,657.11	Professional		$2,077.37	$2,657.11	$2,657.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.23 / $1,140.05 / $2,175.07	Professional		$1,089.23	$1,140.05	$2,175.07