Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $10,964.78	Facility		$3,090.30	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,466.84	Professional		$1,621.81	$2,089.30	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $7,079.46	Facility		$3,981.07	$3,981.07	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $4,466.84	Professional		$1,148.15	$2,630.27	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,248.07 / $6,456.54	Professional		$2,454.71	$5,248.07	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $3,467.37	Professional		$2,398.83	$2,691.53	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,715.35	Facility		$2,454.71	$2,570.40	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $7,079.46	Facility		$1,819.70	$3,388.44	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,630.78	Professional		$1,819.70	$2,691.53	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $9,549.93	Facility		$3,715.35	$5,370.32	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,951.21	Professional		$1,949.84	$2,089.30	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,890.45	Facility		$2,951.21	$2,951.21	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,951.21	Professional		$1,023.29	$1,023.29	$2,951.21