Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.31 / $2,546.78 / $11,916.40	Professional		$1,789.31	$2,546.78	$11,916.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,148.57	Facility		$3,148.57	$3,148.57	$3,148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $3,148.57	Professional		$2,298.46	$2,298.46	$3,148.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,931.21 / $8,748.44 / $11,410.16	Professional		$2,931.21	$8,748.44	$11,410.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,546.78 / $3,569.45 / $4,187.43	Facility		$2,546.78	$3,569.45	$4,187.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,113.53 / $3,936.19 / $4,396.81	Professional		$3,113.53	$3,936.19	$4,396.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,768.70 / $4,089.30 / $4,606.18	Facility		$3,768.70	$4,089.30	$4,606.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,187.43 / $4,187.43 / $4,187.43	Professional		$4,187.43	$4,187.43	$4,187.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,546.78 / $3,666.67 / $4,396.81	Facility		$2,546.78	$3,666.67	$4,396.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $3,666.67 / $4,606.18	Professional		$2,298.46	$3,666.67	$4,606.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,488.74 / $6,963.56 / $14,690.88	Facility		$3,488.74	$6,963.56	$14,690.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,601.20 / $4,606.18 / $4,606.18	Professional		$3,601.20	$4,606.18	$4,606.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,968.61 / $2,060.46 / $3,931.10	Professional		$1,968.61	$2,060.46	$3,931.10