Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,603.39 / $4,482.72 / $20,167.30	Professional		$2,603.39	$4,482.72	$20,167.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $4,052.23	Professional		$2,958.13	$2,958.13	$4,052.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,159.38 / $11,823.66 / $15,421.02	Professional		$5,159.38	$11,823.66	$15,421.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,482.72 / $5,731.36 / $7,370.54	Facility		$4,482.72	$5,731.36	$7,370.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,480.27 / $6,928.31 / $7,739.07	Professional		$5,480.27	$6,928.31	$7,739.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,850.55 / $6,724.11 / $7,396.52	Facility		$5,850.55	$6,724.11	$7,396.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,855.24 / $6,724.11 / $7,370.54	Professional		$5,855.24	$6,724.11	$7,370.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,797.69 / $6,141.34 / $7,739.07	Facility		$3,797.69	$6,141.34	$7,739.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $6,453.90 / $8,107.59	Professional		$2,958.13	$6,453.90	$8,107.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,140.72 / $12,256.92 / $25,858.20	Facility		$6,140.72	$12,256.92	$25,858.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,338.66 / $8,107.59 / $8,107.59	Professional		$6,338.66	$8,107.59	$8,107.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,621.37 / $2,784.85 / $5,313.12	Professional		$2,621.37	$2,784.85	$5,313.12