Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,725.15 / $8,725.15 / $15,225.00	Facility		$8,725.15	$8,725.15	$15,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $3,072.00 / $3,500.00	Professional		$2,520.00	$3,072.00	$3,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.50 / $8,758.75 / $10,169.25	Facility		$5,687.50	$8,758.75	$10,169.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,047.50 / $2,047.50	Professional		$2,047.50	$2,047.50	$2,047.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $7,684.53 / $9,208.62	Professional		$3,500.00	$7,684.53	$9,208.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $3,395.00 / $7,700.00	Facility		$2,625.00	$3,395.00	$7,700.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,850.00 / $4,900.00	Professional		$3,500.00	$3,850.00	$4,900.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,920.00 / $6,125.00	Facility		$3,500.00	$3,920.00	$6,125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,025.00 / $4,445.00 / $9,213.75	Facility		$4,025.00	$4,445.00	$9,213.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,850.00 / $3,850.00 / $5,075.00	Professional		$3,850.00	$3,850.00	$5,075.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,825.00 / $10,650.50 / $13,740.65	Facility		$6,825.00	$10,650.50	$13,740.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,592.61 / $6,591.37 / $11,007.58	Professional		$5,592.61	$6,591.37	$11,007.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $3,675.00	Professional		$1,470.00	$1,470.00	$3,675.00