Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,036.75 / $3,812.38 / $17,949.30	Professional		$2,036.75	$3,812.38	$17,949.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $3,798.08	Professional		$2,772.60	$2,772.60	$3,798.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,387.85 / $9,957.94 / $12,987.64	Professional		$4,387.85	$9,957.94	$12,987.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,812.38 / $4,879.85 / $6,268.35	Facility		$3,812.38	$4,879.85	$6,268.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,660.76 / $5,892.25 / $6,581.77	Professional		$4,660.76	$5,892.25	$6,581.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,975.66 / $5,641.52 / $6,268.35	Facility		$4,975.66	$5,641.52	$6,268.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,489.98 / $6,268.35 / $6,268.35	Professional		$5,489.98	$6,268.35	$6,268.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,529.85 / $5,222.96 / $6,581.77	Facility		$3,529.85	$5,222.96	$6,581.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $5,488.78 / $6,895.19	Professional		$2,772.60	$5,488.78	$6,895.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,222.43 / $10,424.04 / $21,991.35	Facility		$5,222.43	$10,424.04	$21,991.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,390.78 / $6,895.19 / $6,895.19	Professional		$5,390.78	$6,895.19	$6,895.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,240.84 / $2,345.41 / $4,474.72	Professional		$2,240.84	$2,345.41	$4,474.72