Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.58 / $1,555.72 / $7,749.41	Professional		$1,158.58	$1,555.72	$7,749.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $1,482.94	Facility		$1,482.94	$1,482.94	$1,482.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $1,482.94	Professional		$1,260.50	$1,260.50	$1,482.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,790.54 / $5,026.89 / $6,556.34	Professional		$1,790.54	$5,026.89	$6,556.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,555.72 / $2,131.34 / $2,557.92	Facility		$1,555.72	$2,131.34	$2,557.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.92 / $2,302.13 / $2,557.92	Professional		$1,901.92	$2,302.13	$2,557.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,302.13 / $2,557.92 / $2,914.42	Facility		$2,302.13	$2,557.92	$2,914.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,032.05 / $2,032.05 / $2,032.05	Professional		$2,032.05	$2,032.05	$2,032.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,991.32 / $2,557.92	Facility		$1,482.94	$1,991.32	$2,557.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $2,239.81 / $2,813.71	Professional		$1,260.50	$2,239.81	$2,813.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,225.39 / $2,813.71 / $2,813.71	Professional		$2,225.39	$2,813.71	$2,813.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.67 / $1,183.99 / $2,258.89	Professional		$1,126.67	$1,183.99	$2,258.89