Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.70 / $1,382.85 / $6,560.17	Professional		$1,014.70	$1,382.85	$6,560.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,800.00	Professional		$1,530.00	$1,530.00	$1,800.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.59 / $4,409.02 / $5,750.46	Professional		$1,591.59	$4,409.02	$5,750.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.85 / $1,894.50 / $2,273.69	Facility		$1,382.85	$1,894.50	$2,273.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.59 / $2,046.33 / $2,273.69	Professional		$1,690.59	$2,046.33	$2,273.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,046.33 / $2,273.69 / $2,595.78	Facility		$2,046.33	$2,273.69	$2,595.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,806.26 / $1,806.26 / $1,806.26	Professional		$1,806.26	$1,806.26	$1,806.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,382.85 / $1,800.00 / $2,273.69	Facility		$1,382.85	$1,800.00	$2,273.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,990.93 / $2,501.07	Professional		$1,530.00	$1,990.93	$2,501.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,978.12 / $2,501.07 / $2,501.07	Professional		$1,978.12	$2,501.07	$2,501.07
United Facility/Professional Professional Modifier Low / Median / High Price $988.21 / $1,038.47 / $1,981.26	Professional		$988.21	$1,038.47	$1,981.26