Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.25 / $1,775.43 / $7,737.79	Professional		$1,216.25	$1,775.43	$7,737.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $1,960.76	Facility		$1,960.76	$1,960.76	$1,960.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $1,960.76	Professional		$1,431.35	$1,431.35	$1,960.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,043.43 / $5,203.76 / $6,786.99	Professional		$2,043.43	$5,203.76	$6,786.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,775.43 / $2,432.34 / $2,919.18	Facility		$1,775.43	$2,432.34	$2,919.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,170.53 / $2,744.03 / $3,065.14	Professional		$2,170.53	$2,744.03	$3,065.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,317.19 / $2,627.26 / $2,919.18	Facility		$2,317.19	$2,627.26	$2,919.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,456.67 / $2,919.18 / $2,919.18	Professional		$2,456.67	$2,919.18	$2,919.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,775.43 / $2,507.17 / $3,065.14	Facility		$1,775.43	$2,507.17	$3,065.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $2,556.14 / $3,211.10	Professional		$1,431.35	$2,556.14	$3,211.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,432.10 / $4,854.50 / $10,241.43	Facility		$2,432.10	$4,854.50	$10,241.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,510.48 / $3,211.10 / $3,211.10	Professional		$2,510.48	$3,211.10	$3,211.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.96 / $1,225.59 / $2,338.29	Professional		$1,170.96	$1,225.59	$2,338.29