Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,077.00 / $8,077.00 / $14,094.00	Facility		$8,077.00	$8,077.00	$14,094.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,332.80 / $2,754.00 / $3,142.80	Professional		$2,332.80	$2,754.00	$3,142.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,265.00 / $5,265.00 / $9,413.82	Facility		$5,265.00	$5,265.00	$9,413.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $7,114.24 / $8,525.20	Professional		$3,240.00	$7,114.24	$8,525.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $3,142.80 / $7,128.00	Facility		$2,430.00	$3,142.80	$7,128.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $4,374.00	Professional		$3,240.00	$3,240.00	$4,374.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,628.80 / $5,670.00	Facility		$3,240.00	$3,628.80	$5,670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,142.80 / $4,293.00 / $7,891.64	Facility		$3,142.80	$4,293.00	$7,891.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,564.00 / $3,564.00 / $4,536.00	Professional		$3,564.00	$3,564.00	$4,536.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,480.00 / $9,859.32 / $12,719.92	Facility		$6,480.00	$9,859.32	$12,719.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,177.28 / $6,370.84 / $10,190.11	Professional		$5,177.28	$6,370.84	$10,190.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,360.80 / $3,402.00	Professional		$1,360.80	$1,360.80	$3,402.00