Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.31 / $1,888.38 / $10,986.90	Professional		$1,237.31	$1,888.38	$10,986.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $2,050.41	Professional		$1,496.80	$1,496.80	$2,050.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,173.42 / $6,049.62 / $7,890.22	Professional		$2,173.42	$6,049.62	$7,890.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,888.38 / $2,587.08 / $3,104.89	Facility		$1,888.38	$2,587.08	$3,104.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.60 / $2,918.60 / $3,260.13	Professional		$2,308.60	$2,918.60	$3,260.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,794.40 / $3,104.89 / $3,781.64	Facility		$2,794.40	$3,104.89	$3,781.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,466.56 / $2,466.56 / $2,466.56	Professional		$2,466.56	$2,466.56	$2,466.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,749.34 / $2,666.68 / $3,260.13	Facility		$1,749.34	$2,666.68	$3,260.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $2,718.75 / $3,415.38	Professional		$1,496.80	$2,718.75	$3,415.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,586.82 / $5,163.32 / $10,892.94	Facility		$2,586.82	$5,163.32	$10,892.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,670.21 / $3,415.38 / $3,415.38	Professional		$2,670.21	$3,415.38	$3,415.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.29 / $1,424.81 / $2,718.36	Professional		$1,361.29	$1,424.81	$2,718.36