Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,805.10 / $3,100.16 / $14,707.00	Professional		$1,805.10	$3,100.16	$14,707.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $3,297.39	Professional		$2,407.09	$2,407.09	$3,297.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,568.12 / $8,097.87 / $10,561.67	Professional		$3,568.12	$8,097.87	$10,561.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,781.40 / $4,247.22 / $5,097.31	Facility		$2,781.40	$4,247.22	$5,097.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,790.04 / $4,587.58 / $5,352.18	Professional		$3,790.04	$4,587.58	$5,352.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,733.38 / $4,977.85 / $5,607.04	Facility		$3,733.38	$4,977.85	$5,607.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,049.37 / $4,049.37 / $4,049.37	Professional		$4,049.37	$4,049.37	$4,049.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,892.20 / $4,433.22 / $5,352.18	Facility		$2,892.20	$4,433.22	$5,352.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $4,463.39 / $5,607.04	Professional		$2,407.09	$4,463.39	$5,607.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,246.80 / $8,476.64 / $17,883.02	Facility		$4,246.80	$8,476.64	$17,883.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,383.68 / $5,607.04 / $5,607.04	Professional		$4,383.68	$5,607.04	$5,607.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,116.77 / $6,116.77 / $8,155.70	Facility		$6,116.77	$6,116.77	$8,155.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.21 / $1,907.24 / $3,638.78	Professional		$1,822.21	$1,907.24	$3,638.78