Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,561.57 / $3,187.88 / $16,049.10	Professional		$2,561.57	$3,187.88	$16,049.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $3,323.97	Facility		$3,323.97	$3,323.97	$3,323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $3,323.97	Professional		$2,426.50	$2,426.50	$3,323.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,669.07 / $9,531.81 / $12,431.86	Professional		$3,669.07	$9,531.81	$12,431.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,187.88 / $4,558.67 / $5,251.23	Facility		$3,187.88	$4,558.67	$5,251.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,967.50 / $5,031.87 / $5,503.61	Professional		$3,967.50	$5,031.87	$5,503.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,118.68 / $5,241.53 / $6,288.55	Facility		$5,118.68	$5,241.53	$6,288.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,187.88 / $4,589.67 / $5,503.61	Facility		$3,187.88	$4,589.67	$5,503.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $4,589.67 / $5,765.68	Professional		$2,426.50	$4,589.67	$5,765.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,366.96 / $8,716.48 / $18,388.97	Facility		$4,366.96	$8,716.48	$18,388.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,507.72 / $5,765.68 / $5,765.68	Professional		$4,507.72	$5,765.68	$5,765.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.89 / $2,244.96 / $4,283.10	Professional		$2,144.89	$2,244.96	$4,283.10