Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,218.08 / $3,022.81 / $14,340.00	Professional		$2,218.08	$3,022.81	$14,340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,294.10	Facility		$3,294.10	$3,294.10	$3,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $3,294.10	Professional		$2,404.69	$2,404.69	$3,294.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,479.08 / $9,635.49 / $12,567.10	Professional		$3,479.08	$9,635.49	$12,567.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,022.81 / $4,141.25 / $4,970.12	Facility		$3,022.81	$4,141.25	$4,970.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,695.47 / $4,671.91 / $5,218.63	Professional		$3,695.47	$4,671.91	$5,218.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,473.10 / $4,970.12 / $5,662.84	Facility		$4,473.10	$4,970.12	$5,662.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,948.32 / $3,948.32 / $3,948.32	Professional		$3,948.32	$3,948.32	$3,948.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,022.81 / $4,268.66 / $5,218.63	Facility		$3,022.81	$4,268.66	$5,218.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $4,352.01 / $5,467.13	Professional		$2,404.69	$4,352.01	$5,467.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,140.83 / $8,265.12 / $17,436.75	Facility		$4,140.83	$8,265.12	$17,436.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,274.30 / $5,467.13 / $5,467.13	Professional		$4,274.30	$5,467.13	$5,467.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,168.27 / $2,269.44 / $4,329.80	Professional		$2,168.27	$2,269.44	$4,329.80