Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,655.00 / $9,655.00 / $16,847.50	Facility		$9,655.00	$9,655.00	$16,847.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,788.56 / $3,292.05 / $3,756.81	Professional		$2,788.56	$3,292.05	$3,756.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,293.63 / $6,293.63 / $11,253.00	Facility		$6,293.63	$6,293.63	$11,253.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $2,265.71 / $2,265.71	Professional		$2,265.71	$2,265.71	$2,265.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $8,503.42 / $10,189.92	Professional		$3,873.00	$8,503.42	$10,189.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $3,756.81 / $8,520.60	Facility		$2,904.75	$3,756.81	$8,520.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,260.30 / $5,422.20	Professional		$3,873.00	$4,260.30	$5,422.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $4,337.76 / $6,777.75	Facility		$3,873.00	$4,337.76	$6,777.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $5,131.72 / $10,195.67	Facility		$4,647.60	$5,131.72	$10,195.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,260.30 / $4,260.30 / $5,422.20	Professional		$4,260.30	$4,260.30	$5,422.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,746.00 / $11,785.54 / $15,205.01	Facility		$7,746.00	$11,785.54	$15,205.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,188.80 / $7,616.16 / $12,181.03	Professional		$6,188.80	$7,616.16	$12,181.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $4,647.60	Professional		$1,626.66	$1,626.66	$4,647.60