Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.69 / $1,797.40 / $8,761.51	Professional		$986.69	$1,797.40	$8,761.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,654.54	Facility		$1,654.54	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $1,654.54	Professional		$1,207.81	$1,207.81	$1,654.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,068.71 / $4,823.79 / $6,291.42	Professional		$2,068.71	$4,823.79	$6,291.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.40 / $2,338.13 / $2,955.30	Facility		$1,797.40	$2,338.13	$2,955.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,197.38 / $2,777.98 / $3,103.07	Professional		$2,197.38	$2,777.98	$3,103.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,224.12 / $2,886.04 / $3,250.83	Facility		$2,224.12	$2,886.04	$3,250.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,347.73 / $2,347.73 / $2,347.73	Professional		$2,347.73	$2,347.73	$2,347.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,480.61 / $2,462.44 / $3,103.07	Facility		$1,480.61	$2,462.44	$3,103.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $2,587.76 / $3,250.83	Professional		$1,207.81	$2,587.76	$3,250.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,462.19 / $4,914.56 / $10,368.12	Facility		$2,462.19	$4,914.56	$10,368.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,541.56 / $3,250.83 / $3,250.83	Professional		$2,541.56	$3,250.83	$3,250.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.56 / $1,136.22 / $2,167.76	Professional		$1,085.56	$1,136.22	$2,167.76