Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,861.14 / $4,861.14 / $8,482.50	Facility		$4,861.14	$4,861.14	$8,482.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $1,443.00 / $1,891.50	Professional		$358.75	$1,443.00	$1,891.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,168.75 / $3,168.75 / $5,665.73	Facility		$3,168.75	$3,168.75	$5,665.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,560.00	Professional		$1,560.00	$1,560.00	$1,560.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $4,281.18 / $5,130.28	Professional		$1,950.00	$4,281.18	$5,130.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $1,891.50 / $4,290.00	Facility		$1,462.50	$1,891.50	$4,290.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $2,632.50	Professional		$1,950.00	$1,950.00	$2,632.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,145.00 / $3,412.50	Facility		$1,950.00	$2,145.00	$3,412.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,891.50 / $2,583.75 / $4,749.26	Facility		$1,891.50	$2,583.75	$4,749.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,145.00 / $2,145.00 / $2,730.00	Professional		$2,145.00	$2,145.00	$2,730.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,802.50 / $5,496.27 / $8,056.23	Facility		$3,802.50	$5,496.27	$8,056.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,448.91 / $4,806.49 / $5,181.47	Professional		$3,448.91	$4,806.49	$5,181.47
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $2,340.00	Professional		$819.00	$819.00	$2,340.00