Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,665.44 / $4,955.77 / $23,509.80	Professional		$2,665.44	$4,955.77	$23,509.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $4,728.96	Professional		$3,452.14	$3,452.14	$4,728.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,703.82 / $12,944.40 / $16,882.74	Professional		$5,703.82	$12,944.40	$16,882.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,955.77 / $6,274.13 / $8,148.31	Facility		$4,955.77	$6,274.13	$8,148.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,058.59 / $7,659.41 / $8,555.73	Professional		$6,058.59	$7,659.41	$8,555.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,467.94 / $7,957.34 / $8,915.87	Facility		$6,467.94	$7,957.34	$8,915.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,333.48 / $8,148.31 / $8,915.87	Professional		$7,333.48	$8,148.31	$8,915.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,394.99 / $6,789.40 / $8,555.73	Facility		$4,394.99	$6,789.40	$8,555.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $7,134.95 / $8,963.14	Professional		$3,452.14	$7,134.95	$8,963.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,788.72 / $13,550.34 / $28,586.89	Facility		$6,788.72	$13,550.34	$28,586.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,007.55 / $8,963.14 / $8,963.14	Professional		$7,007.55	$8,963.14	$8,963.14
United Facility/Professional Facility Modifier Low / Median / High Price $9,777.96 / $9,777.96 / $13,037.30	Facility		$9,777.96	$9,777.96	$13,037.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,912.90 / $3,048.83 / $5,968.00	Professional		$2,912.90	$3,048.83	$5,968.00