Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,489.86 / $2,665.45 / $12,644.80	Professional		$1,489.86	$2,665.45	$12,644.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Facility		$2,400.00	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,752.00 / $2,400.00	Professional		$1,752.00	$1,752.00	$2,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,067.79 / $6,962.24 / $9,080.50	Professional		$3,067.79	$6,962.24	$9,080.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,665.45 / $3,374.66 / $4,382.56	Facility		$2,665.45	$3,374.66	$4,382.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,258.60 / $4,065.85 / $4,601.68	Professional		$3,258.60	$4,065.85	$4,601.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,326.01 / $3,746.41 / $4,382.56	Facility		$3,326.01	$3,746.41	$4,382.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,405.83 / $3,944.30 / $4,382.56	Professional		$3,405.83	$3,944.30	$4,382.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,226.21 / $3,651.67 / $4,601.68	Facility		$2,226.21	$3,651.67	$4,601.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $3,837.52 / $4,820.82	Professional		$1,752.00	$3,837.52	$4,820.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,651.30 / $7,288.04 / $15,375.41	Facility		$3,651.30	$7,288.04	$15,375.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,769.00 / $4,820.82 / $4,820.82	Professional		$3,769.00	$4,820.82	$4,820.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.70 / $1,639.81 / $3,128.54	Professional		$1,566.70	$1,639.81	$3,128.54