Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.35 / $2,973.55 / $13,897.50	Professional		$1,874.35	$2,973.55	$13,897.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $2,728.17	Professional		$1,991.56	$1,991.56	$2,728.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,422.38 / $8,398.29 / $10,953.50	Professional		$3,422.38	$8,398.29	$10,953.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,973.55 / $4,071.13 / $4,889.12	Facility		$2,973.55	$4,071.13	$4,889.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,635.26 / $4,595.77 / $5,133.58	Professional		$3,635.26	$4,595.77	$5,133.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,872.04 / $4,361.47 / $4,889.12	Facility		$3,872.04	$4,361.47	$4,889.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,964.97 / $4,644.66 / $4,889.12	Professional		$3,964.97	$4,644.66	$4,889.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,638.22 / $4,167.57 / $5,133.58	Facility		$2,638.22	$4,167.57	$5,133.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $4,281.09 / $5,378.03	Professional		$1,991.56	$4,281.09	$5,378.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.35 / $8,130.44 / $17,152.62	Facility		$4,073.35	$8,130.44	$17,152.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,204.64 / $5,378.03 / $5,378.03	Professional		$4,204.64	$5,378.03	$5,378.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,889.89 / $1,978.08 / $3,773.92	Professional		$1,889.89	$1,978.08	$3,773.92