Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.57 / $2,585.81 / $12,596.40	Professional		$1,418.57	$2,585.81	$12,596.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $2,249.23	Professional		$1,967.06	$1,967.06	$2,249.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,976.13 / $6,935.25 / $9,045.32	Professional		$2,976.13	$6,935.25	$9,045.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,585.81 / $3,362.04 / $4,251.60	Facility		$2,585.81	$3,362.04	$4,251.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,161.24 / $3,996.51 / $4,464.18	Professional		$3,161.24	$3,996.51	$4,464.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,374.83 / $3,826.45 / $4,251.60	Facility		$3,374.83	$3,826.45	$4,251.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,659.84 / $4,025.82 / $4,336.64	Professional		$3,659.84	$4,025.82	$4,336.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,374.10 / $3,542.56 / $4,464.18	Facility		$2,374.10	$3,542.56	$4,464.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $3,722.85 / $4,676.77	Professional		$1,967.06	$3,722.85	$4,676.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,542.20 / $7,070.26 / $14,915.97	Facility		$3,542.20	$7,070.26	$14,915.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,656.38 / $4,676.77 / $4,676.77	Professional		$3,656.38	$4,676.77	$4,676.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,560.71 / $1,633.54 / $3,116.58	Professional		$1,560.71	$1,633.54	$3,116.58