Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.25 / $2,684.63 / $12,735.70	Professional		$1,434.25	$2,684.63	$12,735.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $2,482.86	Professional		$1,812.49	$1,812.49	$2,482.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,089.86 / $7,011.96 / $9,145.36	Professional		$3,089.86	$7,011.96	$9,145.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,684.63 / $3,399.17 / $4,414.09	Facility		$2,684.63	$3,399.17	$4,414.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,249.55 / $4,149.24 / $4,414.09	Professional		$3,249.55	$4,149.24	$4,414.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,503.80 / $3,972.68 / $4,414.09	Facility		$3,503.80	$3,972.68	$4,414.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,617.25 / $4,414.09 / $4,414.09	Professional		$3,617.25	$4,414.09	$4,414.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,307.51 / $3,677.94 / $4,634.79	Facility		$2,307.51	$3,677.94	$4,634.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $3,865.13 / $4,855.50	Professional		$1,812.49	$3,865.13	$4,855.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,677.58 / $7,340.48 / $15,486.03	Facility		$3,677.58	$7,340.48	$15,486.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,796.12 / $4,855.50 / $4,855.50	Professional		$3,796.12	$4,855.50	$4,855.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.50 / $2,182.50 / $2,239.67	Facility		$2,182.50	$2,182.50	$2,239.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,577.98 / $1,651.61 / $3,232.98	Professional		$1,577.98	$1,651.61	$3,232.98