Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.54 / $2,367.33 / $9,838.32	Professional		$1,441.54	$2,367.33	$9,838.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,425.11	Professional		$1,770.33	$1,770.33	$2,425.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,724.67 / $6,688.80 / $8,723.87	Professional		$2,724.67	$6,688.80	$8,723.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,367.33 / $3,241.76 / $3,892.39	Facility		$2,367.33	$3,241.76	$3,892.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,894.14 / $3,658.85 / $4,087.01	Professional		$2,894.14	$3,658.85	$4,087.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,089.69 / $3,503.15 / $3,892.39	Facility		$3,089.69	$3,503.15	$3,892.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,402.51 / $3,892.39 / $3,892.39	Professional		$3,402.51	$3,892.39	$3,892.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,253.85 / $3,317.93 / $4,087.01	Facility		$2,253.85	$3,317.93	$4,087.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $3,408.31 / $4,281.63	Professional		$1,770.33	$3,408.31	$4,281.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,242.92 / $6,472.90 / $13,655.73	Facility		$3,242.92	$6,472.90	$13,655.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,347.46 / $4,281.63 / $4,281.63	Professional		$3,347.46	$4,281.63	$4,281.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.12 / $1,575.35 / $3,005.57	Professional		$1,505.12	$1,575.35	$3,005.57