Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,376.71 / $2,366.44 / $11,213.00	Professional		$1,376.71	$2,366.44	$11,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $2,476.09	Facility		$2,476.09	$2,476.09	$2,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $2,476.09	Professional		$1,807.55	$1,807.55	$2,476.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,723.64 / $6,730.71 / $8,778.53	Professional		$2,723.64	$6,730.71	$8,778.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,366.44 / $3,242.02 / $3,890.92	Facility		$2,366.44	$3,242.02	$3,890.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,893.04 / $3,657.46 / $4,085.47	Professional		$2,893.04	$3,657.46	$4,085.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $3,501.83 / $3,890.92	Facility		$3,088.53	$3,501.83	$3,890.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,396.97 / $3,747.73 / $3,890.92	Professional		$3,396.97	$3,747.73	$3,890.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,301.23 / $3,316.68 / $4,085.47	Facility		$2,301.23	$3,316.68	$4,085.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $3,407.03 / $4,280.01	Professional		$1,807.55	$3,407.03	$4,280.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,241.70 / $6,470.46 / $13,650.61	Facility		$3,241.70	$6,470.46	$13,650.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,346.19 / $4,280.01 / $4,280.01	Professional		$3,346.19	$4,280.01	$4,280.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,514.66 / $1,585.34 / $3,024.62	Professional		$1,514.66	$1,585.34	$3,024.62