Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,373.84 / $4,153.49 / $20,530.70	Professional		$2,373.84	$4,153.49	$20,530.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $4,072.36	Professional		$2,972.82	$2,972.82	$4,072.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.43 / $11,304.50 / $14,743.91	Professional		$4,780.43	$11,304.50	$14,743.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,039.57 / $5,479.65 / $6,829.20	Facility		$4,039.57	$5,479.65	$6,829.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,077.77 / $6,419.45 / $6,829.20	Professional		$5,077.77	$6,419.45	$6,829.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,211.75 / $5,879.52 / $6,829.20	Facility		$5,211.75	$5,879.52	$6,829.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,336.83 / $6,829.20 / $6,829.20	Professional		$5,336.83	$6,829.20	$6,829.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,784.76 / $5,690.28 / $7,170.66	Facility		$3,784.76	$5,690.28	$7,170.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $5,979.89 / $7,512.12	Professional		$2,972.82	$5,979.89	$7,512.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,689.71 / $11,356.70 / $23,959.03	Facility		$5,689.71	$11,356.70	$23,959.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,873.11 / $7,512.12 / $7,512.12	Professional		$5,873.11	$7,512.12	$7,512.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,543.78 / $2,662.49 / $5,079.68	Professional		$2,543.78	$2,662.49	$5,079.68