Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,208.32 / $3,295.29 / $18,591.59	Professional		$2,208.32	$3,295.29	$18,591.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $3,578.08	Facility		$3,578.08	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $3,578.08	Professional		$2,612.00	$2,612.00	$3,578.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,792.69 / $10,236.34 / $13,350.76	Professional		$3,792.69	$10,236.34	$13,350.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,295.29 / $4,514.55 / $5,418.13	Facility		$3,295.29	$4,514.55	$5,418.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,028.60 / $5,093.04 / $5,689.04	Professional		$4,028.60	$5,093.04	$5,689.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,300.80 / $4,876.32 / $5,418.13	Facility		$4,300.80	$4,876.32	$5,418.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,605.41 / $5,418.13 / $5,418.13	Professional		$4,605.41	$5,418.13	$5,418.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,295.29 / $4,653.46 / $5,689.04	Facility		$3,295.29	$4,653.46	$5,689.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $4,744.31 / $5,959.94	Professional		$2,612.00	$4,744.31	$5,959.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,514.09 / $9,010.16 / $19,008.55	Facility		$4,514.09	$9,010.16	$19,008.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,659.59 / $5,959.94 / $5,959.94	Professional		$4,659.59	$5,959.94	$5,959.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,303.53 / $2,411.02 / $4,599.89	Professional		$2,303.53	$2,411.02	$4,599.89