Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $12,302.69	Facility		$3,311.31	$4,168.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $17,782.79	Professional		$1,348.96	$3,981.07	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $7,943.28	Facility		$4,365.16	$4,365.16	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $4,897.79	Professional		$1,584.89	$3,019.95	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $7,079.46	Professional		$2,691.53	$5,754.40	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,801.89	Professional		$2,691.53	$2,951.21	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,073.80	Facility		$2,691.53	$2,691.53	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $7,943.28	Facility		$3,235.94	$4,168.69	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $3,890.45	Professional		$1,584.89	$3,019.95	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,128.31 / $10,715.19	Facility		$4,786.30	$8,128.31	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $3,235.94	Professional		$2,187.76	$2,290.87	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,365.16	Facility		$3,235.94	$3,235.94	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,235.94	Professional		$1,148.15	$1,148.15	$3,235.94