Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $3,389.59 / $6,545.42	Facility		$0.03	$3,389.59	$6,545.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,109.07 / $4,441.53 / $15,031.10	Professional		$3,109.07	$4,441.53	$15,031.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.68 / $3,798.68 / $6,792.03	Facility		$3,798.68	$3,798.68	$6,792.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.53 / $3,145.40 / $4,586.43	Professional		$1,367.53	$3,145.40	$4,586.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $5,132.72 / $6,150.71	Professional		$2,337.65	$5,132.72	$6,150.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,103.89 / $3,155.83 / $5,673.88	Facility		$2,103.89	$3,155.83	$5,673.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $3,155.83	Professional		$2,337.65	$2,337.65	$3,155.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $4,425.17	Facility		$2,337.65	$2,337.65	$4,425.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,688.30 / $2,968.82 / $6,153.85	Facility		$2,688.30	$2,968.82	$6,153.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,571.42 / $2,688.30 / $3,366.22	Professional		$2,571.42	$2,688.30	$3,366.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,675.30 / $7,113.47 / $9,177.37	Facility		$4,675.30	$7,113.47	$9,177.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,128.45 / $4,596.78 / $7,351.89	Professional		$4,128.45	$4,596.78	$7,351.89
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $981.81 / $2,454.53	Professional		$981.81	$981.81	$2,454.53