Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $3,929.43 / $7,587.86	Facility		$0.03	$3,929.43	$7,587.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $2,710.00 / $17,425.00	Professional		$1,355.00	$2,710.00	$17,425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,403.68 / $4,403.68 / $7,873.77	Facility		$4,403.68	$4,403.68	$7,873.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,585.32 / $3,646.35 / $5,316.91	Professional		$1,585.32	$3,646.35	$5,316.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $5,950.19 / $7,130.31	Professional		$2,709.95	$5,950.19	$7,130.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,438.96 / $3,658.43 / $6,577.75	Facility		$2,438.96	$3,658.43	$6,577.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $3,658.43	Professional		$2,709.95	$2,709.95	$3,658.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $5,129.93	Facility		$2,709.95	$2,709.95	$5,129.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,116.44 / $3,441.64 / $7,133.95	Facility		$3,116.44	$3,441.64	$7,133.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,980.95 / $3,116.44 / $3,902.33	Professional		$2,980.95	$3,116.44	$3,902.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,419.90 / $8,246.37 / $10,638.99	Facility		$5,419.90	$8,246.37	$10,638.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,786.20 / $5,329.00 / $8,523.20	Professional		$4,786.20	$5,329.00	$8,523.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,138.18 / $2,845.45	Professional		$1,138.18	$1,138.18	$2,845.45