Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,225.00 / $15,225.00 / $15,225.00	Facility		$15,225.00	$15,225.00	$15,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $1,793.73 / $2,975.00	Professional		$1,793.73	$1,793.73	$2,975.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.50 / $5,687.50 / $10,169.25	Facility		$5,687.50	$5,687.50	$10,169.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $7,684.53 / $9,208.62	Professional		$3,500.00	$7,684.53	$9,208.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,793.73 / $2,590.00 / $7,700.00	Facility		$1,793.73	$2,590.00	$7,700.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $4,725.00	Professional		$3,500.00	$3,500.00	$4,725.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,675.00 / $4,900.00	Facility		$3,500.00	$3,675.00	$4,900.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $10,169.25	Facility		$4,200.00	$4,200.00	$10,169.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,850.00 / $3,850.00 / $4,900.00	Professional		$3,850.00	$3,850.00	$4,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,000.00 / $11,333.00 / $13,739.95	Facility		$7,000.00	$11,333.00	$13,739.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,592.61 / $6,882.58 / $11,007.58	Professional		$5,592.61	$6,882.58	$11,007.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $3,675.00	Professional		$1,470.00	$1,470.00	$3,675.00