Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $16,218.10 / $16,595.87	Facility		$3,548.13	$16,218.10	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,548.13	Professional		$2,290.87	$2,818.38	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $10,715.19	Facility		$6,025.60	$6,025.60	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,943.28 / $9,772.37	Professional		$3,715.35	$7,943.28	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $5,128.61	Professional		$3,548.13	$4,073.80	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $6,456.54	Facility		$3,311.31	$4,073.80	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $9,772.37	Facility		$2,754.23	$5,128.61	$9,772.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,073.80 / $5,128.61	Professional		$79.43	$4,073.80	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,964.78 / $14,454.40	Facility		$6,456.54	$10,964.78	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $4,365.16	Professional		$2,951.21	$3,090.30	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $5,888.44	Facility		$4,365.16	$4,365.16	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,365.16	Professional		$1,548.82	$1,548.82	$4,365.16