Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,202.34 / $6,202.34 / $10,822.80	Facility		$6,202.34	$6,202.34	$10,822.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,791.36 / $2,114.80 / $2,239.19	Professional		$1,791.36	$2,114.80	$2,239.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $6,226.22 / $7,228.88	Facility		$4,043.00	$6,226.22	$7,228.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,487.25 / $2,859.20 / $3,574.00	Professional		$2,487.25	$2,859.20	$3,574.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,488.00 / $6,067.45 / $6,546.48	Professional		$2,488.00	$6,067.45	$6,546.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $2,488.00 / $5,188.72	Facility		$1,492.80	$2,488.00	$5,188.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $3,358.80	Professional		$2,488.00	$2,488.00	$3,358.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $2,811.44 / $4,354.00	Facility		$2,488.00	$2,811.44	$4,354.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $2,861.20 / $6,226.22	Facility		$1,492.80	$2,861.20	$6,226.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,363.60 / $2,736.80 / $3,483.20	Professional		$2,363.60	$2,736.80	$3,483.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,851.60 / $7,570.98 / $9,767.14	Facility		$4,851.60	$7,570.98	$9,767.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,228.09 / $2,970.78 / $6,132.42	Professional		$2,228.09	$2,970.78	$6,132.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,044.96 / $2,985.60	Professional		$1,044.96	$1,044.96	$2,985.60