Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,270.79 / $7,270.79 / $12,687.20	Facility		$7,270.79	$7,270.79	$12,687.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,541.54 / $5,541.54 / $5,541.54	Professional		$5,541.54	$5,541.54	$5,541.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,739.47 / $4,739.47 / $8,474.18	Facility		$4,739.47	$4,739.47	$8,474.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $2,333.28 / $2,333.28	Professional		$2,333.28	$2,333.28	$2,333.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $6,404.01 / $7,674.13	Professional		$2,916.60	$6,404.01	$7,674.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.44 / $2,829.10 / $6,416.52	Facility		$2,187.44	$2,829.10	$6,416.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $3,937.41	Professional		$2,916.60	$2,916.60	$3,937.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $3,266.59 / $5,104.05	Facility		$2,916.60	$3,266.59	$5,104.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,829.10 / $3,864.50 / $7,103.97	Facility		$2,829.10	$3,864.50	$7,103.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,208.26 / $3,208.26 / $4,083.24	Professional		$3,208.26	$3,208.26	$4,083.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,833.20 / $8,875.20 / $11,450.28	Facility		$5,833.20	$8,875.20	$11,450.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,660.68 / $5,735.25 / $9,173.34	Professional		$4,660.68	$5,735.25	$9,173.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,224.97 / $3,499.92	Professional		$1,224.97	$1,224.97	$3,499.92