Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,816.18 / $4,410.96 / $20,032.70	Professional		$2,816.18	$4,410.96	$20,032.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $4,423.18	Professional		$3,228.92	$3,228.92	$4,423.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,076.77 / $13,768.95 / $17,958.16	Professional		$5,076.77	$13,768.95	$17,958.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,410.96 / $6,043.02 / $7,252.53	Facility		$4,410.96	$6,043.02	$7,252.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,392.54 / $6,817.38 / $7,615.16	Professional		$5,392.54	$6,817.38	$7,615.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,527.28 / $7,082.55 / $7,977.78	Facility		$6,527.28	$7,082.55	$7,977.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,252.53 / $7,252.53 / $7,252.53	Professional		$7,252.53	$7,252.53	$7,252.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,110.81 / $6,350.57 / $7,615.16	Facility		$4,110.81	$6,350.57	$7,615.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $6,350.57 / $7,977.78	Professional		$3,228.92	$6,350.57	$7,977.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,042.41 / $12,060.70 / $25,444.19	Facility		$6,042.41	$12,060.70	$25,444.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,237.18 / $7,977.78 / $7,977.78	Professional		$6,237.18	$7,977.78	$7,977.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,098.38 / $3,242.96 / $6,187.14	Professional		$3,098.38	$3,242.96	$6,187.14