Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,257.69 / $6,257.69 / $10,919.40	Facility		$6,257.69	$6,257.69	$10,919.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.35 / $2,133.67 / $2,434.90	Professional		$1,807.35	$2,133.67	$2,434.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,079.10 / $4,079.10 / $7,293.43	Facility		$4,079.10	$4,079.10	$7,293.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,231.30 / $2,231.30 / $2,231.30	Professional		$2,231.30	$2,231.30	$2,231.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $5,511.28 / $6,604.35	Professional		$2,510.21	$5,511.28	$6,604.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $2,434.90 / $5,522.46	Facility		$1,882.66	$2,434.90	$5,522.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,388.78	Professional		$2,510.21	$2,510.21	$3,388.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,811.44 / $4,392.87	Facility		$2,510.21	$2,811.44	$4,392.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,434.90 / $3,326.03 / $6,112.95	Facility		$2,434.90	$3,326.03	$6,112.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,761.23 / $2,761.23 / $3,565.75	Professional		$2,761.23	$2,761.23	$3,565.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,020.42 / $7,638.57 / $9,854.83	Facility		$5,020.42	$7,638.57	$9,854.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,011.43 / $4,936.35 / $7,895.45	Professional		$4,011.43	$4,936.35	$7,895.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,171.43 / $2,789.12	Professional		$1,054.29	$1,171.43	$2,789.12