Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,436.21 / $2,611.15 / $12,753.10	Professional		$1,436.21	$2,611.15	$12,753.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $2,637.76	Facility		$2,637.76	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $2,637.76	Professional		$1,925.56	$1,925.56	$2,637.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,005.29 / $7,021.91 / $9,158.31	Professional		$3,005.29	$7,021.91	$9,158.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,611.15 / $3,403.62 / $4,293.27	Facility		$2,611.15	$3,403.62	$4,293.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,192.22 / $4,035.67 / $4,507.93	Professional		$3,192.22	$4,035.67	$4,507.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,407.91 / $4,050.18 / $4,455.20	Facility		$3,407.91	$4,050.18	$4,455.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,407.91 / $4,078.61 / $4,293.27	Professional		$3,407.91	$4,078.61	$4,293.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,451.48 / $3,577.28 / $4,507.93	Facility		$2,451.48	$3,577.28	$4,507.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $3,759.34 / $4,722.60	Professional		$1,925.56	$3,759.34	$4,722.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,576.92 / $7,139.56 / $15,062.17	Facility		$3,576.92	$7,139.56	$15,062.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,692.21 / $4,722.60 / $4,722.60	Professional		$3,692.21	$4,722.60	$4,722.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.12 / $1,653.86 / $3,155.34	Professional		$1,580.12	$1,653.86	$3,155.34