Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $10,471.29	Facility		$2,951.21	$3,630.78	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $15,488.17	Professional		$3,388.44	$3,801.89	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,760.83	Facility		$3,801.89	$3,801.89	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $4,168.69	Professional		$1,380.38	$2,570.40	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $6,165.95	Professional		$2,344.23	$5,011.87	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,235.94	Professional		$2,344.23	$2,570.40	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,467.37	Facility		$2,344.23	$2,344.23	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $6,918.31	Facility		$2,818.38	$3,630.78	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $3,388.44	Professional		$1,380.38	$2,570.40	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,079.46 / $9,120.11	Facility		$4,073.80	$7,079.46	$9,120.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,818.38	Professional		$1,862.09	$1,995.26	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,715.35	Facility		$2,818.38	$2,818.38	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,818.38	Professional		$977.24	$977.24	$2,818.38