Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,861.14 / $4,861.14 / $8,482.50	Facility		$4,861.14	$4,861.14	$8,482.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,657.50 / $1,891.50	Professional		$1,404.00	$1,657.50	$1,891.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,168.75 / $3,168.75 / $5,665.73	Facility		$3,168.75	$3,168.75	$5,665.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $4,281.18 / $5,130.28	Professional		$1,950.00	$4,281.18	$5,130.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $2,047.50 / $4,290.00	Facility		$1,462.50	$2,047.50	$4,290.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $2,632.50	Professional		$1,950.00	$1,950.00	$2,632.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $2,925.00	Facility		$1,950.00	$1,950.00	$2,925.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,852.50 / $2,340.00 / $5,362.63	Facility		$1,852.50	$2,340.00	$5,362.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,145.00 / $2,145.00 / $2,730.00	Professional		$2,145.00	$2,145.00	$2,730.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,412.50 / $6,825.00 / $7,655.51	Facility		$3,412.50	$6,825.00	$7,655.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $4,806.49 / $6,145.04	Professional		$2,340.00	$4,806.49	$6,145.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,925.00 / $2,925.00 / $3,120.00	Facility		$2,925.00	$2,925.00	$3,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $2,047.50	Professional		$819.00	$819.00	$2,047.50