Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,375.04 / $4,375.04 / $8,482.50	Facility		$4,375.04	$4,375.04	$8,482.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,657.50 / $1,702.35	Professional		$1,404.00	$1,657.50	$1,702.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,168.75 / $3,168.75 / $5,665.73	Facility		$3,168.75	$3,168.75	$5,665.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,560.00	Professional		$1,560.00	$1,560.00	$1,560.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $4,281.18 / $5,130.28	Professional		$1,950.00	$4,281.18	$5,130.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $1,755.00 / $4,290.00	Facility		$1,316.25	$1,755.00	$4,290.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,730.00	Professional		$1,950.00	$2,340.00	$2,730.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,184.00 / $3,412.50	Facility		$1,950.00	$2,184.00	$3,412.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,702.35 / $2,476.50 / $4,733.49	Facility		$1,702.35	$2,476.50	$4,733.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,145.00 / $2,925.00	Professional		$2,106.00	$2,145.00	$2,925.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,900.00 / $5,340.47 / $7,250.61	Facility		$3,900.00	$5,340.47	$7,250.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,804.43 / $3,834.62 / $5,519.78	Professional		$2,804.43	$3,834.62	$5,519.78
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $819.00 / $1,950.00	Professional		$737.10	$819.00	$1,950.00