Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,952.91 / $2,661.45 / $12,625.70	Professional		$1,952.91	$2,661.45	$12,625.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,502.67	Professional		$1,826.95	$1,826.95	$2,502.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,063.18 / $8,483.54 / $11,064.65	Professional		$3,063.18	$8,483.54	$11,064.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,661.45 / $3,646.19 / $4,375.97	Facility		$2,661.45	$3,646.19	$4,375.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,253.71 / $4,113.41 / $4,375.97	Professional		$3,253.71	$4,113.41	$4,375.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,473.56 / $4,375.97 / $4,813.57	Facility		$3,473.56	$4,375.97	$4,813.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,719.57 / $4,375.97 / $4,813.57	Professional		$3,719.57	$4,375.97	$4,813.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $3,758.38 / $4,594.77	Facility		$2,502.67	$3,758.38	$4,594.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $3,831.76 / $4,813.57	Professional		$1,826.95	$3,831.76	$4,813.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,645.82 / $7,277.08 / $15,352.33	Facility		$3,645.82	$7,277.08	$15,352.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,763.33 / $4,813.57 / $4,813.57	Professional		$3,763.33	$4,813.57	$4,813.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,909.06 / $1,998.13 / $3,812.18	Professional		$1,909.06	$1,998.13	$3,812.18