Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.92 / $2,594.83 / $11,872.60	Professional		$1,661.92	$2,594.83	$11,872.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $2,970.85	Professional		$2,168.71	$2,168.71	$2,970.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,986.50 / $7,844.33 / $10,230.99	Professional		$2,986.50	$7,844.33	$10,230.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,594.83 / $3,554.92 / $4,266.43	Facility		$2,594.83	$3,554.92	$4,266.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,172.27 / $4,010.44 / $4,479.75	Professional		$3,172.27	$4,010.44	$4,479.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,386.61 / $4,266.43 / $4,851.92	Facility		$3,386.61	$4,266.43	$4,851.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,839.79 / $4,266.43 / $4,851.92	Professional		$3,839.79	$4,266.43	$4,851.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,534.64 / $3,664.31 / $4,479.75	Facility		$2,534.64	$3,664.31	$4,479.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $3,735.84 / $4,693.07	Professional		$2,168.71	$3,735.84	$4,693.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,554.56 / $7,094.94 / $14,968.02	Facility		$3,554.56	$7,094.94	$14,968.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,669.13 / $4,693.07 / $4,693.07	Professional		$3,669.13	$4,693.07	$4,693.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,765.25 / $1,847.62 / $3,525.02	Professional		$1,765.25	$1,847.62	$3,525.02