Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.37 / $2,257.83 / $10,859.80	Professional		$1,744.37	$2,257.83	$10,859.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $2,326.75	Facility		$2,326.75	$2,326.75	$2,326.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $2,326.75	Professional		$1,698.53	$1,698.53	$2,326.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,634.74 / $7,296.75 / $9,516.81	Professional		$2,634.74	$7,296.75	$9,516.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,257.83 / $3,093.23 / $3,763.92	Facility		$2,257.83	$3,093.23	$3,763.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,798.60 / $3,575.72 / $3,952.12	Professional		$2,798.60	$3,575.72	$3,952.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,987.69 / $3,763.92 / $4,140.31	Facility		$2,987.69	$3,763.92	$4,140.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,199.33 / $3,763.92 / $3,898.62	Professional		$3,199.33	$3,763.92	$3,898.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,257.83 / $3,228.70 / $3,952.12	Facility		$2,257.83	$3,228.70	$3,952.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $3,295.81 / $4,140.31	Professional		$1,698.53	$3,295.81	$4,140.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,135.88 / $6,259.24 / $13,204.99	Facility		$3,135.88	$6,259.24	$13,204.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,236.97 / $4,140.31 / $4,140.31	Professional		$3,236.97	$4,140.31	$4,140.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,617.77 / $1,718.66 / $3,278.98	Professional		$1,617.77	$1,718.66	$3,278.98