Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $3,550.41 / $6,855.97	Facility		$2,938.27	$3,550.41	$6,855.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.96 / $2,081.28 / $4,774.68	Professional		$1,762.96	$2,081.28	$4,774.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,978.90 / $3,978.90 / $7,114.27	Facility		$3,978.90	$3,978.90	$7,114.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.78 / $2,602.69 / $4,393.01	Professional		$1,139.78	$2,602.69	$4,393.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $5,376.33 / $6,442.64	Professional		$2,448.56	$5,376.33	$6,442.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,836.42 / $2,570.98 / $5,386.83	Facility		$1,836.42	$2,570.98	$5,386.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $3,305.56	Professional		$2,448.56	$2,448.56	$3,305.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $4,635.12	Facility		$2,448.56	$2,448.56	$4,635.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $3,097.43 / $5,943.63	Facility		$2,570.98	$3,097.43	$5,943.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,577.89 / $2,815.84 / $3,525.93	Professional		$2,577.89	$2,815.84	$3,525.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,774.68 / $7,450.97 / $10,115.98	Facility		$4,774.68	$7,450.97	$10,115.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,324.76 / $4,814.54 / $7,701.47	Professional		$4,324.76	$4,814.54	$7,701.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $2,570.98	Professional		$1,028.40	$1,028.40	$2,570.98