Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.29 / $2,890.65 / $13,903.50	Professional		$2,119.29	$2,890.65	$13,903.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $2,012.35	Professional		$2,012.35	$2,012.35	$2,012.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,373.18 / $9,344.31 / $12,187.32	Professional		$3,373.18	$9,344.31	$12,187.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,890.65 / $3,957.84 / $4,818.83	Facility		$2,890.65	$3,957.84	$4,818.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,583.00 / $4,529.70 / $5,059.77	Professional		$3,583.00	$4,529.70	$5,059.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,825.09 / $4,818.83 / $5,300.71	Facility		$3,825.09	$4,818.83	$5,300.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,336.95 / $4,818.83 / $5,001.34	Professional		$4,336.95	$4,818.83	$5,001.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $4,133.63 / $5,059.77	Facility		$2,756.64	$4,133.63	$5,059.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $4,219.54 / $5,300.71	Professional		$2,012.35	$4,219.54	$5,300.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,014.79 / $8,013.56 / $16,906.00	Facility		$4,014.79	$8,013.56	$16,906.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,144.18 / $5,300.71 / $5,300.71	Professional		$4,144.18	$5,300.71	$5,300.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,071.71 / $2,200.91 / $4,199.05	Professional		$2,071.71	$2,200.91	$4,199.05