Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.03 / $2,976.40 / $16,214.60	Professional		$1,826.03	$2,976.40	$16,214.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $3,249.00	Professional		$2,371.77	$2,371.77	$3,249.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,425.67 / $8,927.41 / $11,643.59	Professional		$3,425.67	$8,927.41	$11,643.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,976.40 / $4,077.67 / $4,893.82	Facility		$2,976.40	$4,077.67	$4,893.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,638.74 / $4,600.18 / $5,138.51	Professional		$3,638.74	$4,600.18	$5,138.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,884.60 / $4,668.49 / $5,135.34	Facility		$3,884.60	$4,668.49	$5,135.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,404.43 / $4,893.82 / $4,991.70	Professional		$4,404.43	$4,893.82	$4,991.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,976.40 / $4,203.12 / $5,138.51	Facility		$2,976.40	$4,203.12	$5,138.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $4,285.20 / $5,383.20	Professional		$2,371.77	$4,285.20	$5,383.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,077.26 / $8,138.24 / $17,169.08	Facility		$4,077.26	$8,138.24	$17,169.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,208.68 / $5,383.20 / $5,383.20	Professional		$4,208.68	$5,383.20	$5,383.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.01 / $2,102.75 / $4,011.78	Professional		$2,009.01	$2,102.75	$4,011.78