Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.72 / $2,411.44 / $12,399.10	Professional		$1,464.72	$2,411.44	$12,399.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,561.34	Professional		$1,869.78	$1,869.78	$2,561.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,775.44 / $6,826.60 / $8,903.59	Professional		$2,775.44	$6,826.60	$8,903.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,411.44 / $3,303.69 / $3,964.92	Facility		$2,411.44	$3,303.69	$3,964.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,948.07 / $3,727.02 / $4,163.17	Professional		$2,948.07	$3,727.02	$4,163.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,147.26 / $3,568.43 / $3,964.92	Facility		$3,147.26	$3,568.43	$3,964.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,258.55 / $3,964.92 / $3,964.92	Professional		$3,258.55	$3,964.92	$3,964.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,335.69 / $3,379.75 / $4,163.17	Facility		$2,335.69	$3,379.75	$4,163.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $3,471.82 / $4,361.41	Professional		$1,869.78	$3,471.82	$4,361.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,303.35 / $6,593.52 / $13,910.19	Facility		$3,303.35	$6,593.52	$13,910.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,409.83 / $4,361.41 / $4,361.41	Professional		$3,409.83	$4,361.41	$4,361.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,536.26 / $1,607.95 / $3,067.76	Professional		$1,536.26	$1,607.95	$3,067.76