Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $6,931.00 / $13,384.00	Facility		$715.00	$6,931.00	$13,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,000.00 / $6,357.40	Professional		$1,000.00	$3,000.00	$6,357.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,767.50 / $7,767.50 / $13,888.29	Facility		$7,767.50	$7,767.50	$13,888.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $5,272.17 / $8,575.70	Professional		$3,800.00	$5,272.17	$8,575.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $11,656.09 / $12,576.34	Professional		$4,780.00	$11,656.09	$12,576.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $4,780.00 / $9,968.69	Facility		$3,000.00	$4,780.00	$9,968.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $6,453.00	Professional		$4,780.00	$4,780.00	$6,453.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $5,019.00 / $10,551.85	Facility		$4,780.00	$5,019.00	$10,551.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $5,736.00 / $10,085.79	Facility		$3,000.00	$5,736.00	$10,085.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,258.00 / $6,883.20	Professional		$4,780.00	$5,258.00	$6,883.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,321.00 / $14,545.54 / $18,765.80	Facility		$9,321.00	$14,545.54	$18,765.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,349.80 / $8,886.78 / $13,365.44	Professional		$4,349.80	$8,886.78	$13,365.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $5,019.00	Professional		$2,007.60	$2,007.60	$5,019.00