Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.48 / $2,200.35 / $10,438.29	Professional		$1,186.48	$2,200.35	$10,438.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $1,711.28	Facility		$1,711.28	$1,711.28	$1,711.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,711.28	Professional		$1,249.23	$1,249.23	$1,711.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,532.48 / $5,801.04 / $7,566.00	Professional		$2,532.48	$5,801.04	$7,566.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,200.35 / $2,811.85 / $3,617.83	Facility		$2,200.35	$2,811.85	$3,617.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,690.00 / $3,400.76 / $3,798.72	Professional		$2,690.00	$3,400.76	$3,798.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,871.75 / $3,315.12 / $3,646.63	Facility		$2,871.75	$3,315.12	$3,646.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,315.12 / $3,617.83 / $3,798.72	Professional		$3,315.12	$3,617.83	$3,798.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,809.57 / $3,014.48 / $3,798.72	Facility		$1,809.57	$3,014.48	$3,798.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $3,167.90 / $3,979.61	Professional		$1,249.23	$3,167.90	$3,979.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,014.18 / $6,016.32 / $12,692.51	Facility		$3,014.18	$6,016.32	$12,692.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,111.33 / $3,979.61 / $3,979.61	Professional		$3,111.33	$3,979.61	$3,979.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.38 / $1,366.29 / $2,606.69	Professional		$1,305.38	$1,366.29	$2,606.69