Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,531.85 / $2,559.53 / $13,590.40	Professional		$1,531.85	$2,559.53	$13,590.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $2,507.59	Facility		$2,507.59	$2,507.59	$2,507.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $2,507.59	Professional		$1,830.54	$1,830.54	$2,507.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,986.79 / $7,482.82 / $9,759.48	Professional		$2,986.79	$7,482.82	$9,759.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,559.53 / $3,506.56 / $4,266.84	Facility		$2,559.53	$3,506.56	$4,266.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,172.56 / $4,010.83 / $4,266.84	Professional		$3,172.56	$4,010.83	$4,266.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,386.93 / $3,840.16 / $4,266.84	Facility		$3,386.93	$3,840.16	$4,266.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,386.93 / $3,840.16 / $4,266.84	Professional		$3,386.93	$3,840.16	$4,266.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,330.50 / $3,637.13 / $4,480.18	Facility		$2,330.50	$3,637.13	$4,480.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $3,736.20 / $4,693.52	Professional		$1,830.54	$3,736.20	$4,693.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,554.90 / $7,095.60 / $14,969.46	Facility		$3,554.90	$7,095.60	$14,969.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,669.48 / $4,693.52 / $4,693.52	Professional		$3,669.48	$4,693.52	$4,693.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,658.99 / $1,762.45 / $3,362.52	Professional		$1,658.99	$1,762.45	$3,362.52