Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,775.01 / $8,775.01 / $15,312.00	Facility		$8,775.01	$8,775.01	$15,312.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,720.00 / $8,808.79 / $10,227.36	Facility		$5,720.00	$8,808.79	$10,227.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,816.00 / $3,518.94 / $5,056.14	Professional		$2,816.00	$3,518.94	$5,056.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $8,583.73 / $9,261.39	Professional		$3,520.00	$8,583.73	$9,261.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,865.60 / $3,520.00 / $7,340.96	Facility		$1,865.60	$3,520.00	$7,340.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $4,787.20	Professional		$3,520.00	$3,520.00	$4,787.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,977.60 / $6,160.00	Facility		$3,520.00	$3,977.60	$6,160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,224.00 / $4,892.80 / $10,208.00	Facility		$4,224.00	$4,892.80	$10,208.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,168.00 / $3,872.00 / $4,928.00	Professional		$3,168.00	$3,872.00	$4,928.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,864.00 / $10,711.36 / $13,819.17	Facility		$6,864.00	$10,711.36	$13,819.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,152.12 / $4,933.51 / $8,676.79	Professional		$3,152.12	$4,933.51	$8,676.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $1,478.40 / $4,224.00	Professional		$1,478.40	$1,478.40	$4,224.00