Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.77 / $1,707.10 / $7,276.04	Professional		$1,000.77	$1,707.10	$7,276.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $1,964.43	Professional		$1,434.03	$1,434.03	$1,964.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,964.77 / $4,892.67 / $6,381.27	Professional		$1,964.77	$4,892.67	$6,381.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,707.10 / $2,338.73 / $2,806.81	Facility		$1,707.10	$2,338.73	$2,806.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.98 / $2,638.40 / $2,947.15	Professional		$2,086.98	$2,638.40	$2,947.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,227.98 / $2,526.13 / $2,806.81	Facility		$2,227.98	$2,526.13	$2,806.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,428.60 / $2,806.81 / $2,806.81	Professional		$2,428.60	$2,806.81	$2,806.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,707.10 / $2,392.58 / $2,947.15	Facility		$1,707.10	$2,392.58	$2,947.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $2,457.75 / $3,087.49	Professional		$1,434.03	$2,457.75	$3,087.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,338.48 / $4,667.64 / $9,847.21	Facility		$2,338.48	$4,667.64	$9,847.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,413.86 / $3,087.49 / $3,087.49	Professional		$2,413.86	$3,087.49	$3,087.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.65 / $1,152.43 / $2,198.69	Professional		$1,096.65	$1,152.43	$2,198.69