Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $3,210.45 / $13,645.40	Professional		$2,017.65	$3,210.45	$13,645.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,001.57	Professional		$2,191.15	$2,191.15	$3,001.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,695.06 / $8,385.51 / $10,936.81	Professional		$3,695.06	$8,385.51	$10,936.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,210.45 / $4,626.47 / $5,278.65	Facility		$3,210.45	$4,626.47	$5,278.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,886.02 / $5,014.72 / $5,542.58	Professional		$3,886.02	$5,014.72	$5,542.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,190.08 / $4,750.79 / $5,278.65	Facility		$4,190.08	$4,750.79	$5,278.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,377.37 / $5,278.65 / $5,278.65	Professional		$4,377.37	$5,278.65	$5,278.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $4,622.17 / $5,542.58	Facility		$3,001.57	$4,622.17	$5,542.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $4,622.17 / $5,806.52	Professional		$2,191.15	$4,622.17	$5,806.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,397.88 / $8,778.20 / $18,519.18	Facility		$4,397.88	$8,778.20	$18,519.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,539.64 / $5,806.52 / $5,806.52	Professional		$4,539.64	$5,806.52	$5,806.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,887.04 / $1,975.10 / $3,768.23	Professional		$1,887.04	$1,975.10	$3,768.23