Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,859.38 / $2,417.42 / $10,733.00	Professional		$1,859.38	$2,417.42	$10,733.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $2,381.07	Professional		$1,738.18	$1,738.18	$2,381.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,603.98 / $7,213.67 / $9,408.41	Professional		$2,603.98	$7,213.67	$9,408.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,262.46 / $3,099.58 / $3,719.97	Facility		$2,262.46	$3,099.58	$3,719.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,765.94 / $3,533.97 / $3,905.97	Professional		$2,765.94	$3,533.97	$3,905.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,632.78 / $3,719.97 / $4,246.93	Facility		$3,632.78	$3,719.97	$4,246.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,719.97 / $3,719.97 / $3,719.97	Professional		$3,719.97	$3,719.97	$3,719.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,262.46 / $3,235.33 / $3,719.97	Facility		$2,262.46	$3,235.33	$3,719.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $3,257.33 / $4,091.97	Professional		$1,738.18	$3,257.33	$4,091.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,099.27 / $6,186.16 / $13,050.82	Facility		$3,099.27	$6,186.16	$13,050.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,199.17 / $4,091.97 / $4,091.97	Professional		$3,199.17	$4,091.97	$4,091.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,623.28 / $1,699.03 / $3,241.53	Professional		$1,623.28	$1,699.03	$3,241.53