Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.36 / $1,938.98 / $12,419.60	Professional		$1,678.36	$1,938.98	$12,419.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,017.28	Professional		$1,472.61	$1,472.61	$2,017.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,259.87 / $6,837.96 / $8,918.42	Professional		$2,259.87	$6,837.96	$8,918.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,936.59 / $2,653.13 / $3,228.39	Facility		$1,936.59	$2,653.13	$3,228.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,400.42 / $3,034.69 / $3,389.81	Professional		$2,400.42	$3,034.69	$3,389.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,562.63 / $3,228.39 / $4,304.52	Facility		$2,562.63	$3,228.39	$4,304.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,905.55 / $3,228.39 / $4,304.52	Professional		$2,905.55	$3,228.39	$4,304.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,936.59 / $2,826.89 / $3,389.81	Facility		$1,936.59	$2,826.89	$3,389.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,826.89 / $3,551.23	Professional		$1,472.61	$2,826.89	$3,551.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,689.71 / $5,368.68 / $11,326.22	Facility		$2,689.71	$5,368.68	$11,326.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,776.42 / $3,551.23 / $3,551.23	Professional		$2,776.42	$3,551.23	$3,551.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,516.06 / $1,610.60 / $3,072.83	Professional		$1,516.06	$1,610.60	$3,072.83