Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,611.96 / $2,565.50 / $13,059.90	Professional		$1,611.96	$2,565.50	$13,059.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $2,717.61	Professional		$1,983.86	$1,983.86	$2,717.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,952.75 / $7,837.93 / $10,222.62	Professional		$2,952.75	$7,837.93	$10,222.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,565.50 / $3,514.74 / $4,218.21	Facility		$2,565.50	$3,514.74	$4,218.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,136.43 / $3,965.12 / $4,218.21	Professional		$3,136.43	$3,965.12	$4,218.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,348.35 / $4,218.21 / $4,933.93	Facility		$3,348.35	$4,218.21	$4,933.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,796.39 / $4,218.21 / $4,933.93	Professional		$3,796.39	$4,218.21	$4,933.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,565.50 / $3,622.91 / $4,429.12	Facility		$2,565.50	$3,622.91	$4,429.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $3,693.62 / $4,640.03	Professional		$1,983.86	$3,693.62	$4,640.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,514.39 / $7,014.76 / $14,798.86	Facility		$3,514.39	$7,014.76	$14,798.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,627.66 / $4,640.03 / $4,640.03	Professional		$3,627.66	$4,640.03	$4,640.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.81 / $1,846.11 / $3,522.14	Professional		$1,763.81	$1,846.11	$3,522.14