Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,910.87 / $2,604.16 / $12,354.00	Professional		$1,910.87	$2,604.16	$12,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,448.80	Professional		$1,787.62	$1,787.62	$2,448.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,997.24 / $8,301.00 / $10,826.59	Professional		$2,997.24	$8,301.00	$10,826.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,604.16 / $3,567.70 / $4,281.77	Facility		$2,604.16	$3,567.70	$4,281.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,183.66 / $4,024.86 / $4,495.85	Professional		$3,183.66	$4,024.86	$4,495.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,398.78 / $4,281.77 / $4,709.95	Facility		$3,398.78	$4,281.77	$4,709.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,853.59 / $4,281.77 / $4,709.95	Professional		$3,853.59	$4,281.77	$4,709.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $3,677.46 / $4,495.85	Facility		$2,448.80	$3,677.46	$4,495.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $3,749.27 / $4,709.95	Professional		$1,787.62	$3,749.27	$4,709.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,567.34 / $7,120.44 / $15,021.83	Facility		$3,567.34	$7,120.44	$15,021.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,682.32 / $4,709.95 / $4,709.95	Professional		$3,682.32	$4,709.95	$4,709.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.96 / $1,955.12 / $3,730.12	Professional		$1,867.96	$1,955.12	$3,730.12