Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.50 / $2,260.21 / $10,722.30	Professional		$1,658.50	$2,260.21	$10,722.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,463.07	Professional		$1,798.04	$1,798.04	$2,463.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,601.40 / $7,204.42 / $9,396.39	Professional		$2,601.40	$7,204.42	$9,396.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,260.21 / $3,096.50 / $3,716.28	Facility		$2,260.21	$3,096.50	$3,716.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.20 / $3,493.30 / $3,902.09	Professional		$2,763.20	$3,493.30	$3,902.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,344.65 / $3,716.28 / $4,234.24	Facility		$3,344.65	$3,716.28	$4,234.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,260.21 / $3,191.77 / $3,902.09	Facility		$2,260.21	$3,191.77	$3,902.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $3,254.10 / $4,087.91	Professional		$1,798.04	$3,254.10	$4,087.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,096.19 / $6,180.02 / $13,037.88	Facility		$3,096.19	$6,180.02	$13,037.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,196.00 / $4,087.91 / $4,087.91	Professional		$3,196.00	$4,087.91	$4,087.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.26 / $1,696.91 / $3,237.49	Professional		$1,621.26	$1,696.91	$3,237.49