Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.25 / $2,045.10 / $10,556.20	Professional		$1,389.25	$2,045.10	$10,556.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $1,721.98	Professional		$1,257.05	$1,257.05	$1,721.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,353.79 / $5,837.27 / $7,613.25	Professional		$2,353.79	$5,837.27	$7,613.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,045.10 / $2,801.79 / $3,362.56	Facility		$2,045.10	$2,801.79	$3,362.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,500.19 / $3,160.81 / $3,530.69	Professional		$2,500.19	$3,160.81	$3,530.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,669.13 / $3,026.30 / $3,362.56	Facility		$2,669.13	$3,026.30	$3,362.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,669.13 / $3,026.30 / $3,362.56	Professional		$2,669.13	$3,026.30	$3,362.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $2,866.30 / $3,530.69	Facility		$1,721.98	$2,866.30	$3,530.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $2,944.38 / $3,698.82	Professional		$1,257.05	$2,944.38	$3,698.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,801.50 / $5,591.82 / $11,796.95	Facility		$2,801.50	$5,591.82	$11,796.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,891.80 / $3,698.82 / $3,698.82	Professional		$2,891.80	$3,698.82	$3,698.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.26 / $4,409.26 / $5,879.01	Facility		$4,409.26	$4,409.26	$5,879.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.54 / $1,374.83 / $2,691.20	Professional		$1,313.54	$1,374.83	$2,691.20