Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.74 / $1,639.13 / $7,775.96	Professional		$1,202.74	$1,639.13	$7,775.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,786.24	Professional		$1,303.96	$1,303.96	$1,786.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,886.56 / $5,225.07 / $6,814.77	Professional		$1,886.56	$5,225.07	$6,814.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.13 / $2,245.61 / $2,695.08	Facility		$1,639.13	$2,245.61	$2,695.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,003.89 / $2,533.38 / $2,829.83	Professional		$2,003.89	$2,533.38	$2,829.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,425.57 / $2,695.08 / $3,070.71	Facility		$2,425.57	$2,695.08	$3,070.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,639.13 / $2,359.90 / $2,829.83	Facility		$1,639.13	$2,359.90	$2,829.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $2,359.90 / $2,964.59	Professional		$1,303.96	$2,359.90	$2,964.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,245.39 / $4,481.82 / $9,455.18	Facility		$2,245.39	$4,481.82	$9,455.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,317.77 / $2,964.59 / $2,964.59	Professional		$2,317.77	$2,964.59	$2,964.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.75 / $1,230.61 / $2,347.85	Professional		$1,175.75	$1,230.61	$2,347.85