Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,841.25 / $9,655.00 / $13,159.88	Facility		$4,841.25	$9,655.00	$13,159.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,850.00 / $3,873.00 / $7,358.70	Professional		$2,850.00	$3,873.00	$7,358.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,293.63 / $8,960.57 / $11,253.00	Facility		$6,293.63	$8,960.57	$11,253.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,396.74 / $4,271.75 / $6,948.45	Professional		$3,396.74	$4,271.75	$6,948.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $8,503.42 / $10,189.92	Professional		$3,873.00	$8,503.42	$10,189.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $3,756.81 / $8,378.02	Facility		$2,904.75	$3,756.81	$8,378.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $5,228.55	Professional		$3,873.00	$3,873.00	$5,228.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $4,066.65 / $8,549.65	Facility		$3,873.00	$4,066.65	$8,549.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,756.81 / $4,899.35 / $8,960.57	Facility		$3,756.81	$4,899.35	$8,960.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,081.97 / $4,453.95 / $5,577.12	Professional		$4,081.97	$4,453.95	$5,577.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,552.35 / $11,785.54 / $16,000.91	Facility		$7,552.35	$11,785.54	$16,000.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,840.26 / $7,616.16 / $12,181.03	Professional		$6,840.26	$7,616.16	$12,181.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.65 / $1,626.66 / $4,647.60	Professional		$1,434.65	$1,626.66	$4,647.60