Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.22 / $3,239.09 / $15,699.50	Professional		$1,789.22	$3,239.09	$15,699.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $2,550.04	Professional		$1,861.53	$1,861.53	$2,550.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,728.02 / $8,644.04 / $11,273.98	Professional		$3,728.02	$8,644.04	$11,273.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,239.09 / $4,189.93 / $5,325.74	Facility		$3,239.09	$4,189.93	$5,325.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,959.89 / $4,940.87 / $5,325.74	Professional		$3,959.89	$4,940.87	$5,325.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,227.45 / $4,793.17 / $5,325.74	Facility		$4,227.45	$4,793.17	$5,325.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,227.45 / $5,325.74 / $5,325.74	Professional		$4,227.45	$5,325.74	$5,325.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,668.21 / $4,437.55 / $5,592.03	Facility		$2,668.21	$4,437.55	$5,592.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $4,663.39 / $5,858.31	Professional		$1,861.53	$4,663.39	$5,858.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,437.10 / $8,856.50 / $18,684.38	Facility		$4,437.10	$8,856.50	$18,684.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,580.14 / $5,858.31 / $5,858.31	Professional		$4,580.14	$5,858.31	$5,858.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,529.56 / $6,529.56 / $8,706.08	Facility		$6,529.56	$6,529.56	$8,706.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,945.19 / $2,035.96 / $3,884.34	Professional		$1,945.19	$2,035.96	$3,884.34