Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,972.42 / $3,159.34 / $15,175.80	Professional		$1,972.42	$3,159.34	$15,175.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,481.10	Professional		$1,811.20	$1,811.20	$2,481.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,636.23 / $8,355.69 / $10,897.91	Professional		$3,636.23	$8,355.69	$10,897.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,958.63 / $4,050.34 / $5,194.60	Facility		$2,958.63	$4,050.34	$5,194.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,862.39 / $4,882.93 / $5,194.60	Professional		$3,862.39	$4,882.93	$5,194.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,852.38 / $4,472.24 / $5,194.60	Facility		$3,852.38	$4,472.24	$5,194.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,944.84 / $5,194.60 / $5,194.60	Professional		$3,944.84	$5,194.60	$5,194.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,592.91 / $4,328.30 / $5,454.34	Facility		$2,592.91	$4,328.30	$5,454.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $4,548.58 / $5,714.07	Professional		$1,811.20	$4,548.58	$5,714.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,327.85 / $8,638.44 / $18,224.34	Facility		$4,327.85	$8,638.44	$18,224.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,467.35 / $5,714.07 / $5,714.07	Professional		$4,467.35	$5,714.07	$5,714.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.65 / $2,600.65 / $2,668.77	Facility		$2,600.65	$2,600.65	$2,668.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,880.30 / $1,968.04 / $3,754.76	Professional		$1,880.30	$1,968.04	$3,754.76