Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,103.98 / $2,867.32 / $13,602.40	Professional		$2,103.98	$2,867.32	$13,602.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $2,886.72	Professional		$2,107.31	$2,107.31	$2,886.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,300.14 / $9,139.76 / $11,920.56	Professional		$3,300.14	$9,139.76	$11,920.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,867.32 / $3,928.23 / $4,714.47	Facility		$2,867.32	$3,928.23	$4,714.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,505.39 / $4,431.60 / $4,950.20	Professional		$3,505.39	$4,431.60	$4,950.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,243.03 / $4,714.47 / $5,371.58	Facility		$4,243.03	$4,714.47	$5,371.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,867.32 / $4,049.09 / $4,950.20	Facility		$2,867.32	$4,049.09	$4,950.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $4,128.16 / $5,185.93	Professional		$2,107.31	$4,128.16	$5,185.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,927.84 / $7,840.00 / $16,539.89	Facility		$3,927.84	$7,840.00	$16,539.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,054.45 / $5,185.93 / $5,185.93	Professional		$4,054.45	$5,185.93	$5,185.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,904.03 / $6,904.03 / $9,205.37	Facility		$6,904.03	$6,904.03	$9,205.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,056.73 / $2,152.71 / $4,107.10	Professional		$2,056.73	$2,152.71	$4,107.10