Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.19 / $6,606.19 / $11,527.50	Facility		$6,606.19	$6,606.19	$11,527.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.00 / $2,252.50 / $2,570.50	Professional		$1,908.00	$2,252.50	$2,570.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,306.25 / $4,306.25 / $7,699.58	Facility		$4,306.25	$4,306.25	$7,699.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $5,818.81 / $6,972.85	Professional		$2,650.00	$5,818.81	$6,972.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,782.50 / $5,830.00	Facility		$1,987.50	$2,782.50	$5,830.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $3,577.50	Professional		$2,650.00	$2,650.00	$3,577.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $3,710.00	Facility		$2,650.00	$2,650.00	$3,710.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,517.50 / $3,180.00 / $7,288.23	Facility		$2,517.50	$3,180.00	$7,288.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,915.00 / $2,915.00 / $3,710.00	Professional		$2,915.00	$2,915.00	$3,710.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,637.50 / $9,275.00 / $10,403.64	Facility		$4,637.50	$9,275.00	$10,403.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,180.00 / $6,532.00 / $8,351.09	Professional		$3,180.00	$6,532.00	$8,351.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $2,650.00	Professional		$1,113.00	$1,113.00	$2,650.00