Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.18 / $1,453.00 / $6,892.95	Professional		$1,066.18	$1,453.00	$6,892.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,366.32	Professional		$997.41	$997.41	$1,366.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.32 / $4,631.31 / $6,040.39	Professional		$1,672.32	$4,631.31	$6,040.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,453.00 / $2,077.79 / $2,389.03	Facility		$1,453.00	$2,077.79	$2,389.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.34 / $2,245.69 / $2,508.48	Professional		$1,776.34	$2,245.69	$2,508.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,333.04 / $2,389.03 / $2,722.04	Facility		$2,333.04	$2,389.03	$2,722.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,897.88 / $1,897.88 / $1,897.88	Professional		$1,897.88	$1,897.88	$1,897.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $2,091.92 / $2,508.48	Facility		$1,366.32	$2,091.92	$2,508.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $2,091.92 / $2,627.93	Professional		$997.41	$2,091.92	$2,627.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,990.41 / $3,377.54 / $8,381.49	Facility		$1,990.41	$3,377.54	$8,381.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,054.57 / $2,627.93 / $2,627.93	Professional		$2,054.57	$2,627.93	$2,627.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.24 / $1,090.86 / $2,081.23	Professional		$1,042.24	$1,090.86	$2,081.23