Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.90 / $2,044.15 / $10,308.20	Professional		$1,206.90	$2,044.15	$10,308.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,283.76	Professional		$1,667.14	$1,667.14	$2,283.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,352.71 / $5,676.04 / $7,402.98	Professional		$2,352.71	$5,676.04	$7,402.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.50 / $2,800.49 / $3,361.01	Facility		$1,949.50	$2,800.49	$3,361.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,499.03 / $3,159.35 / $3,529.06	Professional		$2,499.03	$3,159.35	$3,529.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,616.76 / $3,282.24 / $3,697.11	Facility		$2,616.76	$3,282.24	$3,697.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,361.01 / $3,361.01 / $3,361.01	Professional		$3,361.01	$3,361.01	$3,361.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,972.65 / $2,923.13 / $3,529.06	Facility		$1,972.65	$2,923.13	$3,529.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,943.02 / $3,697.11	Professional		$1,667.14	$2,943.02	$3,697.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,800.21 / $5,589.24 / $11,791.50	Facility		$2,800.21	$5,589.24	$11,791.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,890.47 / $3,697.11 / $3,697.11	Professional		$2,890.47	$3,697.11	$3,697.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.20 / $1,336.80 / $2,550.44	Professional		$1,277.20	$1,336.80	$2,550.44