Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,974.44 / $8,974.44 / $15,660.00	Facility		$8,974.44	$8,974.44	$15,660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $3,060.00 / $3,492.00	Professional		$2,592.00	$3,060.00	$3,492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,850.00 / $5,850.00 / $10,459.79	Facility		$5,850.00	$5,850.00	$10,459.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,016.00 / $2,016.00	Professional		$2,016.00	$2,016.00	$2,016.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $7,903.98 / $9,471.62	Professional		$3,600.00	$7,903.98	$9,471.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,664.00 / $3,492.00 / $7,920.00	Facility		$2,664.00	$3,492.00	$7,920.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,860.00	Professional		$3,600.00	$3,600.00	$4,860.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,780.00 / $5,040.00	Facility		$3,600.00	$3,780.00	$5,040.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $4,320.00 / $9,549.15	Facility		$2,700.00	$4,320.00	$9,549.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $5,040.00	Professional		$3,960.00	$3,960.00	$5,040.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,698.04 / $11,656.80 / $14,132.52	Facility		$9,698.04	$11,656.80	$14,132.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,752.35 / $8,441.11 / $11,321.99	Professional		$5,752.35	$8,441.11	$11,321.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $3,780.00	Professional		$1,512.00	$1,512.00	$3,780.00