Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.61 / $2,107.19 / $9,593.95	Professional		$1,487.61	$2,107.19	$9,593.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,571.77	Facility		$2,571.77	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $2,571.77	Professional		$1,877.39	$1,877.39	$2,571.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,425.28 / $6,504.87 / $8,483.99	Professional		$2,425.28	$6,504.87	$8,483.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,107.19 / $2,886.86 / $3,464.68	Facility		$2,107.19	$2,886.86	$3,464.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,576.12 / $3,256.80 / $3,637.91	Professional		$2,576.12	$3,256.80	$3,637.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,750.18 / $3,392.36 / $3,811.15	Facility		$2,750.18	$3,392.36	$3,811.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,118.21 / $3,464.68 / $3,811.15	Professional		$3,118.21	$3,464.68	$3,811.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,107.19 / $2,975.66 / $3,637.91	Facility		$2,107.19	$2,975.66	$3,637.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $3,033.80 / $3,811.15	Professional		$1,877.39	$3,033.80	$3,811.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,886.58 / $5,761.64 / $12,155.22	Facility		$2,886.58	$5,761.64	$12,155.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,979.62 / $3,811.15 / $3,811.15	Professional		$2,979.62	$3,811.15	$3,811.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,463.74 / $1,532.03 / $2,936.40	Professional		$1,463.74	$1,532.03	$2,936.40