Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.56 / $3,239.65 / $15,376.50	Professional		$1,893.56	$3,239.65	$15,376.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $3,523.90	Professional		$2,572.44	$2,572.44	$3,523.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,728.66 / $9,257.67 / $12,074.31	Professional		$3,728.66	$9,257.67	$12,074.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,239.65 / $4,438.32 / $5,326.66	Facility		$3,239.65	$4,438.32	$5,326.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,960.57 / $5,007.06 / $5,592.99	Professional		$3,960.57	$5,007.06	$5,592.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,228.18 / $4,793.99 / $5,326.66	Facility		$4,228.18	$4,793.99	$5,326.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,482.45 / $5,060.33 / $5,326.66	Professional		$4,482.45	$5,060.33	$5,326.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,239.65 / $4,540.51 / $5,592.99	Facility		$3,239.65	$4,540.51	$5,592.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $4,664.21 / $5,859.33	Professional		$2,572.44	$4,664.21	$5,859.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,437.88 / $8,858.04 / $18,687.62	Facility		$4,437.88	$8,858.04	$18,687.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,580.93 / $5,859.33 / $5,859.33	Professional		$4,580.93	$5,859.33	$5,859.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,083.31 / $2,180.52 / $4,179.33	Professional		$2,083.31	$2,180.52	$4,179.33