Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.66 / $1,487.73 / $7,307.33	Professional		$1,302.66	$1,487.73	$7,307.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,665.63	Professional		$1,215.91	$1,215.91	$1,665.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.31 / $4,847.22 / $6,322.00	Professional		$1,712.31	$4,847.22	$6,322.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.73 / $2,038.19 / $2,446.15	Facility		$1,487.73	$2,038.19	$2,446.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.79 / $2,299.38 / $2,568.46	Professional		$1,818.79	$2,299.38	$2,568.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,941.69 / $2,446.15 / $2,690.77	Facility		$1,941.69	$2,446.15	$2,690.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,201.54 / $2,446.15 / $2,690.77	Professional		$2,201.54	$2,446.15	$2,690.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,487.73 / $2,100.90 / $2,568.46	Facility		$1,487.73	$2,100.90	$2,568.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $2,141.92 / $2,690.77	Professional		$1,215.91	$2,141.92	$2,690.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,037.99 / $4,067.84 / $8,581.86	Facility		$2,037.99	$4,067.84	$8,581.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,103.69 / $2,690.77 / $2,690.77	Professional		$2,103.69	$2,690.77	$2,690.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.76 / $1,141.66 / $2,178.13	Professional		$1,090.76	$1,141.66	$2,178.13