Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.71 / $2,222.34 / $10,542.60	Professional		$1,630.71	$2,222.34	$10,542.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $2,264.80	Professional		$1,653.30	$1,653.30	$2,264.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,557.79 / $7,083.69 / $9,238.90	Professional		$2,557.79	$7,083.69	$9,238.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,222.34 / $3,044.61 / $3,653.99	Facility		$2,222.34	$3,044.61	$3,653.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,716.87 / $3,434.75 / $3,836.69	Professional		$2,716.87	$3,434.75	$3,836.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,288.59 / $3,653.99 / $4,163.29	Facility		$3,288.59	$3,653.99	$4,163.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,222.34 / $3,138.26 / $3,836.69	Facility		$2,222.34	$3,138.26	$3,836.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $3,199.56 / $4,019.39	Professional		$1,653.30	$3,199.56	$4,019.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,044.30 / $6,076.44 / $12,819.36	Facility		$3,044.30	$6,076.44	$12,819.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,142.43 / $4,019.39 / $4,019.39	Professional		$3,142.43	$4,019.39	$4,019.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.09 / $1,668.47 / $3,183.24	Professional		$1,594.09	$1,668.47	$3,183.24