Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.22 / $1,517.37 / $6,582.10	Professional		$1,138.22	$1,517.37	$6,582.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $1,747.16	Facility		$1,747.16	$1,747.16	$1,747.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $1,747.16	Professional		$1,275.43	$1,275.43	$1,747.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,746.41 / $4,788.27 / $6,245.10	Professional		$1,746.41	$4,788.27	$6,245.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,517.37 / $2,078.80 / $2,494.87	Facility		$1,517.37	$2,078.80	$2,494.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.04 / $2,345.17 / $2,619.61	Professional		$1,855.04	$2,345.17	$2,619.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,980.39 / $2,494.87 / $2,744.36	Facility		$1,980.39	$2,494.87	$2,744.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,120.64 / $2,494.87 / $2,744.36	Professional		$2,120.64	$2,494.87	$2,744.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,517.37 / $2,142.77 / $2,619.61	Facility		$1,517.37	$2,142.77	$2,619.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $2,184.60 / $2,744.36	Professional		$1,275.43	$2,184.60	$2,744.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,078.59 / $4,148.88 / $8,752.82	Facility		$2,078.59	$4,148.88	$8,752.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,145.59 / $2,744.36 / $2,744.36	Professional		$2,145.59	$2,744.36	$2,744.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.49 / $1,127.77 / $2,151.65	Professional		$1,077.49	$1,127.77	$2,151.65