Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,483.92 / $7,483.92 / $13,059.10	Facility		$7,483.92	$7,483.92	$13,059.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,440.82 / $2,500.00	Professional		$1,500.00	$2,440.82	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,878.39 / $4,878.39 / $8,722.58	Facility		$4,878.39	$4,878.39	$8,722.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.67 / $2,401.67 / $2,401.67	Professional		$2,401.67	$2,401.67	$2,401.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $6,591.51 / $7,898.82	Professional		$3,002.09	$6,591.51	$7,898.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,251.57 / $2,912.03 / $6,604.60	Facility		$2,251.57	$2,912.03	$6,604.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $4,052.82	Professional		$3,002.09	$3,002.09	$4,052.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,002.09 / $3,302.30 / $5,253.66	Facility		$3,002.09	$3,302.30	$5,253.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,602.51 / $3,977.77 / $7,903.01	Facility		$3,602.51	$3,977.77	$7,903.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,302.30 / $3,302.30 / $4,264.47	Professional		$3,302.30	$3,302.30	$4,264.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,004.18 / $9,135.36 / $11,785.91	Facility		$6,004.18	$9,135.36	$11,785.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,797.14 / $5,903.34 / $9,441.92	Professional		$4,797.14	$5,903.34	$9,441.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,260.88 / $3,602.51	Professional		$1,260.88	$1,260.88	$3,602.51