Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $4,641.00 / $5,600.00	Facility		$2,400.00	$4,641.00	$5,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.67 / $1,700.00 / $3,800.00	Professional		$1,122.67	$1,700.00	$3,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $3,250.00 / $5,811.00	Facility		$3,250.00	$3,250.00	$5,811.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,108.15 / $2,261.21 / $3,588.19	Professional		$2,108.15	$2,261.21	$3,588.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $4,391.25 / $5,262.19	Professional		$2,000.00	$4,391.25	$5,262.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,100.00 / $4,400.00	Facility		$1,500.00	$2,100.00	$4,400.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,700.00	Professional		$2,000.00	$2,000.00	$2,700.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,100.00 / $4,415.00	Facility		$2,000.00	$2,100.00	$4,415.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $2,530.00 / $4,860.47	Facility		$2,100.00	$2,530.00	$4,860.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,166.02 / $2,299.88 / $2,880.00	Professional		$2,166.02	$2,299.88	$2,880.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,900.00 / $6,086.00 / $7,851.80	Facility		$3,900.00	$6,086.00	$7,851.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,532.35 / $3,932.61 / $6,290.35	Professional		$3,532.35	$3,932.61	$6,290.35
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $840.00 / $2,400.00	Professional		$840.00	$840.00	$2,400.00