Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,263.61 / $3,878.52 / $20,060.59	Professional		$2,263.61	$3,878.52	$20,060.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $3,745.37	Facility		$3,745.37	$3,745.37	$3,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $3,591.15	Professional		$2,734.12	$2,734.12	$3,591.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,463.97 / $11,045.27 / $14,405.80	Professional		$4,463.97	$11,045.27	$14,405.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,878.52 / $5,313.57 / $6,377.10	Facility		$3,878.52	$5,313.57	$6,377.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,741.60 / $5,994.47 / $6,695.96	Professional		$4,741.60	$5,994.47	$6,695.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,061.99 / $6,227.64 / $6,891.95	Facility		$5,061.99	$6,227.64	$6,891.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,739.39 / $6,377.10 / $6,695.96	Professional		$5,739.39	$6,377.10	$6,695.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,480.86 / $5,435.93 / $6,695.96	Facility		$3,480.86	$5,435.93	$6,695.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $5,584.01 / $7,014.81	Professional		$2,734.12	$5,584.01	$7,014.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,313.04 / $10,604.88 / $22,372.89	Facility		$5,313.04	$10,604.88	$22,372.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,484.31 / $7,014.81 / $7,014.81	Professional		$5,484.31	$7,014.81	$7,014.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,485.54 / $2,601.52 / $4,963.35	Professional		$2,485.54	$2,601.52	$4,963.35