Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,889.90 / $10,714.00	Professional		$1,206.58	$1,889.90	$10,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,125.02	Facility		$2,125.02	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,125.02	Professional		$1,551.26	$1,551.26	$2,125.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,175.17 / $5,899.06 / $7,693.84	Professional		$2,175.17	$5,899.06	$7,693.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.90 / $2,589.16 / $3,107.39	Facility		$1,889.90	$2,589.16	$3,107.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,310.46 / $2,920.95 / $3,262.76	Professional		$2,310.46	$2,920.95	$3,262.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,466.58 / $3,107.39 / $3,713.38	Facility		$2,466.58	$3,107.39	$3,713.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,641.28 / $3,107.39 / $3,713.38	Professional		$2,641.28	$3,107.39	$3,713.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.90 / $2,701.66 / $3,262.76	Facility		$1,889.90	$2,701.66	$3,262.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,720.94 / $3,418.13	Professional		$1,551.26	$2,720.94	$3,418.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,588.91 / $5,167.47 / $10,901.72	Facility		$2,588.91	$5,167.47	$10,901.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,672.36 / $3,418.13 / $3,418.13	Professional		$2,672.36	$3,418.13	$3,418.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,327.48 / $1,389.43 / $2,650.84	Professional		$1,327.48	$1,389.43	$2,650.84