Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,275.92 / $3,869.34 / $20,209.40	Professional		$2,275.92	$3,869.34	$20,209.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $3,943.38	Professional		$2,878.67	$2,878.67	$3,943.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,453.39 / $11,126.95 / $14,512.33	Professional		$4,453.39	$11,126.95	$14,512.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,869.34 / $5,301.00 / $6,361.99	Facility		$3,869.34	$5,301.00	$6,361.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,730.39 / $5,980.27 / $6,680.09	Professional		$4,730.39	$5,980.27	$6,680.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,050.01 / $6,212.88 / $6,945.97	Facility		$5,050.01	$6,212.88	$6,945.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,725.79 / $6,361.99 / $6,361.99	Professional		$5,725.79	$6,361.99	$6,361.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,664.90 / $5,423.07 / $6,680.09	Facility		$3,664.90	$5,423.07	$6,680.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $5,570.78 / $6,998.19	Professional		$2,878.67	$5,570.78	$6,998.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,300.46 / $10,579.76 / $22,319.89	Facility		$5,300.46	$10,579.76	$22,319.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,471.31 / $6,998.19 / $6,998.19	Professional		$5,471.31	$6,998.19	$6,998.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,503.96 / $2,620.82 / $5,023.22	Professional		$2,503.96	$2,620.82	$5,023.22