Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.40 / $2,946.34 / $13,977.20	Professional		$1,824.40	$2,946.34	$13,977.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,364.97	Professional		$2,456.42	$2,456.42	$3,364.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,391.08 / $8,617.06 / $11,238.78	Professional		$3,391.08	$8,617.06	$11,238.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,946.34 / $4,036.49 / $4,844.39	Facility		$2,946.34	$4,036.49	$4,844.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,601.99 / $4,553.74 / $4,844.39	Professional		$3,601.99	$4,553.74	$4,844.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,845.38 / $4,684.02 / $5,152.42	Facility		$3,845.38	$4,684.02	$5,152.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,359.96 / $4,844.39 / $5,152.42	Professional		$4,359.96	$4,844.39	$5,152.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,830.36 / $4,160.68 / $5,086.62	Facility		$2,830.36	$4,160.68	$5,086.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $4,241.92 / $5,328.84	Professional		$2,456.42	$4,241.92	$5,328.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,036.08 / $8,056.04 / $16,995.68	Facility		$4,036.08	$8,056.04	$16,995.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,166.18 / $5,328.84 / $5,328.84	Professional		$4,166.18	$5,328.84	$5,328.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,939.05 / $2,029.53 / $3,872.08	Professional		$1,939.05	$2,029.53	$3,872.08