Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,027.13 / $3,471.15 / $17,607.00	Professional		$2,027.13	$3,471.15	$17,607.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $3,532.34	Facility		$3,532.34	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,578.61 / $3,532.34	Professional		$2,578.61	$2,578.61	$3,532.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,995.10 / $9,694.44 / $12,643.98	Professional		$3,995.10	$9,694.44	$12,643.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,471.15 / $4,699.28 / $5,707.29	Facility		$3,471.15	$4,699.28	$5,707.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,243.60 / $5,364.85 / $5,992.65	Professional		$4,243.60	$5,364.85	$5,992.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,530.33 / $5,707.29 / $6,278.02	Facility		$4,530.33	$5,707.29	$6,278.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,851.20 / $5,707.29 / $6,675.71	Professional		$4,851.20	$5,707.29	$6,675.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,282.88 / $4,822.30 / $5,992.65	Facility		$3,282.88	$4,822.30	$5,992.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $4,997.51 / $6,278.02	Professional		$2,578.61	$4,997.51	$6,278.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $9,491.02 / $20,023.02	Facility		$4,755.00	$9,491.02	$20,023.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,908.27 / $6,278.02 / $6,278.02	Professional		$4,908.27	$6,278.02	$6,278.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,181.53 / $2,283.32 / $4,356.29	Professional		$2,181.53	$2,283.32	$4,356.29