Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,532.08 / $5,532.08 / $9,653.20	Facility		$5,532.08	$5,532.08	$9,653.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.77 / $2,152.56 / $2,152.56	Professional		$1,597.77	$2,152.56	$2,152.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,606.08 / $5,553.36 / $6,447.66	Facility		$3,606.08	$5,553.36	$6,447.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,218.46 / $2,549.86 / $3,187.33	Professional		$2,218.46	$2,549.86	$3,187.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $5,411.16 / $5,838.36	Professional		$2,219.13	$5,411.16	$5,838.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $2,219.13 / $4,628.00	Facility		$1,331.48	$2,219.13	$4,628.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $2,219.13 / $2,995.83	Professional		$2,219.13	$2,219.13	$2,995.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $2,330.09 / $3,106.78	Facility		$2,219.13	$2,330.09	$3,106.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $2,219.13 / $5,841.84	Facility		$1,331.48	$2,219.13	$5,841.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,108.17 / $2,441.04 / $3,106.78	Professional		$2,108.17	$2,441.04	$3,106.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,978.11 / $7,185.54 / $8,711.64	Facility		$5,978.11	$7,185.54	$8,711.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,987.09 / $2,649.45 / $5,470.27	Professional		$1,987.09	$2,649.45	$5,470.27
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $932.03 / $2,662.96	Professional		$932.03	$932.03	$2,662.96