Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.05 / $1,482.65 / $9,378.12	Professional		$1,096.05	$1,482.65	$9,378.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $1,523.27	Facility		$1,523.27	$1,523.27	$1,523.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $1,523.27	Professional		$1,111.99	$1,111.99	$1,523.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,706.45 / $5,163.27 / $6,734.18	Professional		$1,706.45	$5,163.27	$6,734.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.65 / $2,031.23 / $2,476.02	Facility		$1,482.65	$2,031.23	$2,476.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.59 / $2,291.52 / $2,437.79	Professional		$1,812.59	$2,291.52	$2,437.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,935.05 / $2,380.65 / $2,681.57	Facility		$1,935.05	$2,380.65	$2,681.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,194.01 / $2,437.79 / $2,681.57	Professional		$2,194.01	$2,437.79	$2,681.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,482.65 / $2,120.19 / $2,559.67	Facility		$1,482.65	$2,120.19	$2,559.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $2,134.61 / $2,681.57	Professional		$1,111.99	$2,134.61	$2,681.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,031.03 / $4,053.94 / $8,552.53	Facility		$2,031.03	$4,053.94	$8,552.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,096.50 / $2,681.57 / $2,681.57	Professional		$2,096.50	$2,681.57	$2,681.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.97 / $1,216.18 / $2,320.32	Professional		$1,161.97	$1,216.18	$2,320.32