Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.10 / $2,519.62 / $11,952.90	Professional		$1,346.10	$2,519.62	$11,952.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,479.82	Professional		$1,810.27	$1,810.27	$2,479.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,899.95 / $6,581.56 / $8,584.02	Professional		$2,899.95	$6,581.56	$8,584.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,519.62 / $3,210.88 / $4,142.78	Facility		$2,519.62	$3,210.88	$4,142.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,080.32 / $3,894.21 / $4,349.92	Professional		$3,080.32	$3,894.21	$4,349.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,288.45 / $3,728.50 / $4,142.78	Facility		$3,288.45	$3,728.50	$4,142.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,291.08 / $3,734.64 / $4,225.64	Professional		$3,291.08	$3,734.64	$4,225.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,304.69 / $3,451.88 / $4,349.92	Facility		$2,304.69	$3,451.88	$4,349.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $3,627.56 / $4,557.06	Professional		$1,810.27	$3,627.56	$4,557.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,451.54 / $6,889.30 / $14,534.18	Facility		$3,451.54	$6,889.30	$14,534.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,562.79 / $4,557.06 / $4,557.06	Professional		$3,562.79	$4,557.06	$4,557.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.99 / $1,550.09 / $3,034.26	Professional		$1,480.99	$1,550.09	$3,034.26