Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,710.14 / $4,678.72 / $23,335.70	Professional		$2,710.14	$4,678.72	$23,335.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $3,790.37	Professional		$2,766.97	$2,766.97	$3,790.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,384.97 / $12,848.51 / $16,757.68	Professional		$5,384.97	$12,848.51	$16,757.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,678.72 / $6,228.09 / $7,692.81	Facility		$4,678.72	$6,228.09	$7,692.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,719.91 / $7,231.24 / $8,077.45	Professional		$5,719.91	$7,231.24	$8,077.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,106.40 / $7,280.84 / $8,008.92	Facility		$6,106.40	$7,280.84	$8,008.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,111.27 / $7,692.81 / $8,008.92	Professional		$6,111.27	$7,692.81	$8,008.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,854.14 / $6,409.86 / $8,077.45	Facility		$3,854.14	$6,409.86	$8,077.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $6,736.09 / $8,462.09	Professional		$2,766.97	$6,736.09	$8,462.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,409.22 / $12,792.86 / $26,988.82	Facility		$6,409.22	$12,792.86	$26,988.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,615.82 / $8,462.09 / $8,462.09	Professional		$6,615.82	$8,462.09	$8,462.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,891.33 / $3,026.25 / $5,773.69	Professional		$2,891.33	$3,026.25	$5,773.69