Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.41 / $1,788.68 / $8,336.08	Professional		$1,154.41	$1,788.68	$8,336.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,119.51	Professional		$1,547.24	$1,547.24	$2,119.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,058.67 / $5,318.10 / $6,936.12	Professional		$2,058.67	$5,318.10	$6,936.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,788.68 / $2,450.48 / $2,940.96	Facility		$1,788.68	$2,450.48	$2,940.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,186.71 / $2,764.50 / $3,088.01	Professional		$2,186.71	$2,764.50	$3,088.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,334.46 / $2,715.61 / $2,987.17	Facility		$2,334.46	$2,715.61	$2,987.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,646.86 / $2,940.96 / $3,058.60	Professional		$2,646.86	$2,940.96	$3,058.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,788.68 / $2,575.21 / $3,088.01	Facility		$1,788.68	$2,575.21	$3,088.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,575.21 / $3,235.06	Professional		$1,547.24	$2,575.21	$3,235.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,450.25 / $4,890.72 / $10,317.84	Facility		$2,450.25	$4,890.72	$10,317.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,529.23 / $3,235.06 / $3,235.06	Professional		$2,529.23	$3,235.06	$3,235.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.74 / $1,252.58 / $2,389.77	Professional		$1,196.74	$1,252.58	$2,389.77