Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.43 / $2,815.65 / $14,011.70	Professional		$1,648.43	$2,815.65	$14,011.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,141.52	Professional		$2,293.31	$2,293.31	$3,141.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.66 / $7,715.08 / $10,062.37	Professional		$3,240.66	$7,715.08	$10,062.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,815.65 / $3,739.23 / $4,629.51	Facility		$2,815.65	$3,739.23	$4,629.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,442.21 / $4,351.74 / $4,860.99	Professional		$3,442.21	$4,351.74	$4,860.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,556.90 / $4,521.01 / $5,092.46	Facility		$3,556.90	$4,521.01	$5,092.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,815.65 / $3,946.25 / $4,860.99	Facility		$2,815.65	$3,946.25	$4,860.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $4,053.76 / $5,092.46	Professional		$2,293.31	$4,053.76	$5,092.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,857.05 / $7,698.70 / $16,241.79	Facility		$3,857.05	$7,698.70	$16,241.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.38 / $5,092.46 / $5,092.46	Professional		$3,981.38	$5,092.46	$5,092.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,736.07 / $1,817.08 / $3,466.76	Professional		$1,736.07	$1,817.08	$3,466.76