Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.47 / $1,431.60 / $6,791.45	Professional		$1,050.47	$1,431.60	$6,791.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,346.19	Professional		$982.72	$982.72	$1,346.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.70 / $4,563.14 / $5,951.46	Professional		$1,647.70	$4,563.14	$5,951.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.60 / $1,961.29 / $2,353.86	Facility		$1,431.60	$1,961.29	$2,353.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.19 / $2,212.63 / $2,471.55	Professional		$1,750.19	$2,212.63	$2,471.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,868.44 / $2,353.86 / $2,589.25	Facility		$1,868.44	$2,353.86	$2,589.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,869.93 / $2,353.86 / $2,495.09	Professional		$1,869.93	$2,353.86	$2,495.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $2,021.64 / $2,471.55	Facility		$1,346.19	$2,021.64	$2,471.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $2,061.12 / $2,589.25	Professional		$982.72	$2,061.12	$2,589.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,961.10 / $3,914.38 / $8,258.08	Facility		$1,961.10	$3,914.38	$8,258.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,024.32 / $2,589.25 / $2,589.25	Professional		$2,024.32	$2,589.25	$2,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.88 / $1,074.80 / $2,050.58	Professional		$1,026.88	$1,074.80	$2,050.58