Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.49 / $1,741.12 / $9,422.89	Professional		$1,061.49	$1,741.12	$9,422.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $1,787.17	Facility		$1,787.17	$1,787.17	$1,787.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $1,787.17	Professional		$1,304.63	$1,304.63	$1,787.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,003.95 / $5,189.55 / $6,768.48	Professional		$2,003.95	$5,189.55	$6,768.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,741.12 / $2,385.33 / $2,862.78	Facility		$1,741.12	$2,385.33	$2,862.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,128.58 / $2,691.01 / $3,005.92	Professional		$2,128.58	$2,691.01	$3,005.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,272.40 / $2,576.50 / $2,862.78	Facility		$2,272.40	$2,576.50	$2,862.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,506.42 / $2,862.78 / $2,862.78	Professional		$2,506.42	$2,862.78	$2,862.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,741.12 / $2,458.73 / $3,005.92	Facility		$1,741.12	$2,458.73	$3,005.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $2,506.73 / $3,149.06	Professional		$1,304.63	$2,506.73	$3,149.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,385.10 / $4,760.68 / $10,043.50	Facility		$2,385.10	$4,760.68	$10,043.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,461.98 / $3,149.06 / $3,149.06	Professional		$2,461.98	$3,149.06	$3,149.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.84 / $1,222.33 / $2,332.08	Professional		$1,167.84	$1,222.33	$2,332.08