Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.01 / $2,189.42 / $10,699.50	Professional		$1,237.01	$2,189.42	$10,699.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,784.15	Professional		$1,302.43	$1,302.43	$1,784.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,519.90 / $6,048.19 / $7,888.35	Professional		$2,519.90	$6,048.19	$7,888.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,189.42 / $2,931.39 / $3,599.86	Facility		$2,189.42	$2,931.39	$3,599.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,676.63 / $3,383.87 / $3,599.86	Professional		$2,676.63	$3,383.87	$3,599.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,857.48 / $3,239.87 / $3,618.90	Facility		$2,857.48	$3,239.87	$3,618.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,146.87 / $3,599.86 / $3,959.85	Professional		$3,146.87	$3,599.86	$3,959.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,803.54 / $3,043.44 / $3,779.85	Facility		$1,803.54	$3,043.44	$3,779.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $3,152.16 / $3,959.85	Professional		$1,302.43	$3,152.16	$3,959.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,999.20 / $5,986.42 / $12,629.44	Facility		$2,999.20	$5,986.42	$12,629.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,095.88 / $3,959.85 / $3,959.85	Professional		$3,095.88	$3,959.85	$3,959.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,355.52 / $1,424.47 / $2,717.71	Professional		$1,355.52	$1,424.47	$2,717.71