Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,337.64 / $4,337.64 / $7,569.00	Facility		$4,337.64	$4,337.64	$7,569.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.80 / $1,479.00 / $1,687.80	Professional		$1,252.80	$1,479.00	$1,687.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.50 / $2,827.50 / $5,055.57	Facility		$2,827.50	$2,827.50	$5,055.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $3,820.25 / $4,577.93	Professional		$1,740.00	$3,820.25	$4,577.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,687.80 / $3,828.00	Facility		$1,305.00	$1,687.80	$3,828.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $2,349.00	Professional		$1,740.00	$1,740.00	$2,349.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $1,914.00 / $3,045.00	Facility		$1,740.00	$1,914.00	$3,045.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $2,088.00 / $4,436.35	Facility		$1,566.00	$2,088.00	$4,436.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,914.00 / $1,914.00 / $2,436.00	Professional		$1,914.00	$1,914.00	$2,436.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,480.00 / $5,634.12 / $6,830.72	Facility		$3,480.00	$5,634.12	$6,830.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,780.60 / $3,421.55 / $5,472.88	Professional		$2,780.60	$3,421.55	$5,472.88
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $730.80 / $2,088.00	Professional		$730.80	$730.80	$2,088.00