Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,806.41 / $2,878.55 / $16,040.40	Professional		$1,806.41	$2,878.55	$16,040.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,006.81	Professional		$2,194.96	$2,194.96	$3,006.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,313.06 / $8,831.54 / $11,518.52	Professional		$3,313.06	$8,831.54	$11,518.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,878.55 / $3,943.61 / $4,732.93	Facility		$2,878.55	$3,943.61	$4,732.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,519.12 / $4,448.96 / $4,732.93	Professional		$3,519.12	$4,448.96	$4,732.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,756.90 / $4,574.04 / $5,031.43	Facility		$3,756.90	$4,574.04	$5,031.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,259.64 / $4,732.93 / $4,827.60	Professional		$4,259.64	$4,732.93	$4,827.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,794.46 / $4,064.95 / $4,969.59	Facility		$2,794.46	$4,064.95	$4,969.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $4,144.32 / $5,206.22	Professional		$2,194.96	$4,144.32	$5,206.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,943.22 / $7,870.70 / $16,604.63	Facility		$3,943.22	$7,870.70	$16,604.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,070.33 / $5,206.22 / $5,206.22	Professional		$4,070.33	$5,206.22	$5,206.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,987.42 / $2,080.16 / $3,968.67	Professional		$1,987.42	$2,080.16	$3,968.67