Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,986.14 / $3,631.30 / $17,636.30	Professional		$1,986.14	$3,631.30	$17,636.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $3,670.30	Professional		$2,679.32	$2,679.32	$3,670.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,179.43 / $9,710.78 / $12,665.29	Professional		$4,179.43	$9,710.78	$12,665.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,631.30 / $4,706.71 / $5,970.61	Facility		$3,631.30	$4,706.71	$5,970.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,439.37 / $5,612.37 / $6,269.14	Professional		$4,439.37	$5,612.37	$6,269.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,739.33 / $5,373.55 / $5,970.61	Facility		$4,739.33	$5,373.55	$5,970.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,141.22 / $5,373.55 / $5,970.61	Professional		$5,141.22	$5,373.55	$5,970.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,411.10 / $4,974.88 / $6,269.14	Facility		$3,411.10	$4,974.88	$6,269.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $5,228.07 / $6,567.67	Professional		$2,679.32	$5,228.07	$6,567.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,974.38 / $9,928.90 / $20,946.79	Facility		$4,974.38	$9,928.90	$20,946.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,134.72 / $6,567.67 / $6,567.67	Professional		$5,134.72	$6,567.67	$6,567.67
United Facility/Professional Professional Modifier Low / Median / High Price $2,185.16 / $2,287.12 / $4,363.53	Professional		$2,185.16	$2,287.12	$4,363.53