Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,697.98 / $4,672.35 / $23,957.20	Professional		$2,697.98	$4,672.35	$23,957.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $4,366.38	Professional		$3,187.46	$3,187.46	$4,366.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,377.62 / $13,190.84 / $17,204.16	Professional		$5,377.62	$13,190.84	$17,204.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,672.35 / $6,393.67 / $7,682.31	Facility		$4,672.35	$6,393.67	$7,682.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,712.09 / $7,221.37 / $8,066.43	Professional		$5,712.09	$7,221.37	$8,066.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,098.04 / $7,639.11 / $8,450.54	Facility		$6,098.04	$7,639.11	$8,450.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,914.08 / $7,682.31 / $7,989.60	Professional		$6,914.08	$7,682.31	$7,989.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,058.02 / $6,548.52 / $8,066.43	Facility		$4,058.02	$6,548.52	$8,066.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $6,726.90 / $8,450.54	Professional		$3,187.46	$6,726.90	$8,450.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,400.48 / $12,775.40 / $26,952.00	Facility		$6,400.48	$12,775.40	$26,952.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,606.79 / $8,450.54 / $8,450.54	Professional		$6,606.79	$8,450.54	$8,450.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,968.33 / $3,106.84 / $5,927.44	Professional		$2,968.33	$3,106.84	$5,927.44