Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,825.66 / $2,754.36 / $12,158.50	Professional		$1,825.66	$2,754.36	$12,158.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $2,741.63	Professional		$2,001.39	$2,001.39	$2,741.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,170.11 / $8,925.98 / $11,641.72	Professional		$3,170.11	$8,925.98	$11,641.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.36 / $3,778.66 / $4,528.72	Facility		$2,754.36	$3,778.66	$4,528.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,367.28 / $4,257.01 / $4,755.17	Professional		$3,367.28	$4,257.01	$4,755.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,075.86 / $4,422.59 / $4,981.60	Facility		$4,075.86	$4,422.59	$4,981.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,712.22 / $3,965.52 / $4,755.17	Facility		$2,712.22	$3,965.52	$4,755.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $3,965.52 / $4,981.60	Professional		$2,001.39	$3,965.52	$4,981.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,773.09 / $7,531.12 / $15,888.25	Facility		$3,773.09	$7,531.12	$15,888.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,894.71 / $4,981.60 / $4,981.60	Professional		$3,894.71	$4,981.60	$4,981.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,008.60 / $2,102.33 / $4,010.97	Professional		$2,008.60	$2,102.33	$4,010.97