Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.12 / $3,590.53 / $17,565.09	Professional		$1,978.12	$3,590.53	$17,565.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,853.06	Professional		$2,082.73	$2,082.73	$2,853.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,132.51 / $9,671.01 / $12,613.42	Professional		$4,132.51	$9,671.01	$12,613.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,590.53 / $4,688.14 / $5,903.59	Facility		$3,590.53	$4,688.14	$5,903.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,389.53 / $5,549.37 / $6,198.77	Professional		$4,389.53	$5,549.37	$6,198.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,686.10 / $5,903.59 / $6,493.95	Facility		$4,686.10	$5,903.59	$6,493.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,313.23 / $5,903.59 / $6,493.95	Professional		$5,313.23	$5,903.59	$6,493.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,957.71 / $4,919.03 / $6,198.77	Facility		$2,957.71	$4,919.03	$6,198.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $5,169.38 / $6,493.95	Professional		$2,082.73	$5,169.38	$6,493.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,918.53 / $9,817.42 / $20,711.64	Facility		$4,918.53	$9,817.42	$20,711.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,077.09 / $6,493.95 / $6,493.95	Professional		$5,077.09	$6,493.95	$6,493.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,176.34 / $2,277.89 / $4,345.92	Professional		$2,176.34	$2,277.89	$4,345.92