Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,977.28 / $7,977.28 / $13,920.00	Facility		$7,977.28	$7,977.28	$13,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,720.00 / $3,104.00	Professional		$2,304.00	$2,720.00	$3,104.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $5,200.00 / $9,297.60	Facility		$5,200.00	$5,200.00	$9,297.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $7,026.17 / $8,419.67	Professional		$3,200.00	$7,026.17	$8,419.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,368.00 / $3,104.00 / $7,040.00	Facility		$2,368.00	$3,104.00	$7,040.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,320.00	Professional		$3,200.00	$3,200.00	$4,320.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,360.00 / $4,480.00	Facility		$3,200.00	$3,360.00	$4,480.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,840.00 / $8,488.41	Facility		$2,400.00	$3,840.00	$8,488.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $4,480.00	Professional		$3,520.00	$3,520.00	$4,480.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,620.48 / $10,361.60 / $12,562.24	Facility		$8,620.48	$10,361.60	$12,562.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,113.38 / $7,502.95 / $10,064.35	Professional		$5,113.38	$7,502.95	$10,064.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,344.00 / $3,840.00	Professional		$1,344.00	$1,344.00	$3,840.00