Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,927.92 / $2,717.79 / $13,508.30	Professional		$1,927.92	$2,717.79	$13,508.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $3,600.52	Facility		$3,600.52	$3,600.52	$3,600.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $3,600.52	Professional		$3,060.44	$3,060.44	$3,600.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,128.03 / $8,581.54 / $11,192.49	Professional		$3,128.03	$8,581.54	$11,192.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,717.79 / $3,723.37 / $4,468.60	Facility		$2,717.79	$3,723.37	$4,468.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.45 / $3,529.79 / $4,468.60	Professional		$1,787.45	$3,529.79	$4,468.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,547.09 / $4,276.13 / $4,703.74	Facility		$3,547.09	$4,276.13	$4,703.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,021.75 / $4,468.60 / $4,647.35	Professional		$4,021.75	$4,468.60	$4,647.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,717.79 / $3,600.52 / $4,468.60	Facility		$2,717.79	$3,600.52	$4,468.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,912.87 / $4,915.47	Professional		$3,060.44	$3,912.87	$4,915.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,723.00 / $7,431.14 / $15,677.30	Facility		$3,723.00	$7,431.14	$15,677.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,843.00 / $4,915.47 / $4,915.47	Professional		$3,843.00	$4,915.47	$4,915.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,931.14 / $2,021.25 / $3,856.28	Professional		$1,931.14	$2,021.25	$3,856.28