Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,390.35 / $3,541.48 / $17,765.40	Professional		$2,390.35	$3,541.48	$17,765.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $3,728.42	Professional		$2,721.75	$2,721.75	$3,728.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,076.04 / $10,879.80 / $14,189.97	Professional		$4,076.04	$10,879.80	$14,189.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,541.48 / $5,103.51 / $5,822.92	Facility		$3,541.48	$5,103.51	$5,822.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,286.70 / $5,531.77 / $6,114.07	Professional		$4,286.70	$5,531.77	$6,114.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,686.45 / $5,822.92 / $6,769.59	Facility		$5,686.45	$5,822.92	$6,769.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,822.92 / $5,822.92 / $5,822.92	Professional		$5,822.92	$5,822.92	$5,822.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,541.48 / $5,098.76 / $6,114.07	Facility		$3,541.48	$5,098.76	$6,114.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $5,098.76 / $6,405.21	Professional		$2,721.75	$5,098.76	$6,405.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,851.34 / $9,683.32 / $20,428.68	Facility		$4,851.34	$9,683.32	$20,428.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,007.71 / $6,405.21 / $6,405.21	Professional		$5,007.71	$6,405.21	$6,405.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,448.26 / $2,562.50 / $4,888.92	Professional		$2,448.26	$2,562.50	$4,888.92