Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $7,920.26 / $18,360.00	Facility		$5,116.62	$7,920.26	$18,360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,494.31 / $4,995.58 / $15,098.70	Professional		$3,494.31	$4,995.58	$15,098.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,773.52 / $7,075.90 / $10,330.50	Professional		$3,773.52	$7,075.90	$10,330.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,773.93 / $7,581.69 / $9,230.49	Professional		$5,773.93	$7,581.69	$9,230.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,812.29 / $5,942.56 / $11,792.26	Facility		$3,812.29	$5,942.56	$11,792.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,932.81 / $6,944.64 / $11,793.70	Professional		$5,932.81	$6,944.64	$11,793.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,875.37 / $7,033.69 / $7,426.28	Facility		$4,875.37	$7,033.69	$7,426.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,887.38 / $7,678.68 / $11,792.26	Facility		$3,887.38	$7,678.68	$11,792.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,202.79 / $8,091.32 / $10,547.05	Professional		$6,202.79	$8,091.32	$10,547.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,791.78 / $8,651.06 / $10,463.24	Professional		$6,791.78	$8,651.06	$10,463.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,534.01 / $7,812.71 / $11,639.32	Professional		$5,534.01	$7,812.71	$11,639.32