Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.76 / $3,639.80 / $7,028.59	Facility		$3,137.76	$3,639.80	$7,028.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,133.67 / $2,634.17 / $11,516.00	Professional		$2,133.67	$2,634.17	$11,516.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,079.10 / $6,281.81 / $8,064.50	Facility		$4,079.10	$6,281.81	$8,064.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $3,377.59 / $4,925.01	Professional		$1,478.00	$3,377.59	$4,925.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $5,511.28 / $6,604.35	Professional		$2,510.21	$5,511.28	$6,604.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,882.66 / $2,635.72 / $5,522.46	Facility		$1,882.66	$2,635.72	$5,522.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,388.78	Professional		$2,510.21	$2,510.21	$3,388.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,635.72 / $4,000.00	Facility		$2,510.21	$2,635.72	$4,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,635.72 / $3,175.42 / $7,279.61	Facility		$2,635.72	$3,175.42	$7,279.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,761.23 / $3,012.25 / $3,940.52	Professional		$2,761.23	$3,012.25	$3,940.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,894.91 / $7,747.55 / $10,370.68	Facility		$4,894.91	$7,747.55	$10,370.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,433.68 / $4,936.35 / $7,895.45	Professional		$4,433.68	$4,936.35	$7,895.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,301.58 / $2,635.72	Professional		$1,054.29	$1,301.58	$2,635.72