Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,149.75 / $2,929.73 / $13,898.50	Professional		$2,149.75	$2,929.73	$13,898.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $2,801.20	Professional		$2,044.88	$2,044.88	$2,801.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,371.96 / $9,338.64 / $12,179.92	Professional		$3,371.96	$9,338.64	$12,179.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,929.73 / $4,013.73 / $4,817.09	Facility		$2,929.73	$4,013.73	$4,817.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,581.69 / $4,528.06 / $5,057.93	Professional		$3,581.69	$4,528.06	$5,057.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,335.38 / $4,817.09 / $5,488.41	Facility		$4,335.38	$4,817.09	$5,488.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $4,137.22 / $5,057.93	Facility		$2,801.20	$4,137.22	$5,057.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $4,218.01 / $5,298.80	Professional		$2,044.88	$4,218.01	$5,298.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,013.33 / $8,010.64 / $16,899.88	Facility		$4,013.33	$8,010.64	$16,899.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,142.70 / $5,298.80 / $5,298.80	Professional		$4,142.70	$5,298.80	$5,298.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,101.48 / $2,199.56 / $4,215.82	Professional		$2,101.48	$2,199.56	$4,215.82