Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,841.25 / $5,615.85 / $10,844.40	Facility		$4,841.25	$5,615.85	$10,844.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,788.56 / $3,292.05 / $5,615.85	Professional		$2,788.56	$3,292.05	$5,615.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,293.63 / $6,293.63 / $11,253.00	Facility		$6,293.63	$6,293.63	$11,253.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $5,211.34 / $7,598.88	Professional		$2,168.88	$5,211.34	$7,598.88
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 / $4,066.65 / $8,520.60	Facility		$2,904.75	$4,066.65	$8,520.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,647.60 / $5,422.20	Professional		$3,873.00	$4,647.60	$5,422.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $4,260.30 / $5,809.50	Facility		$3,873.00	$4,260.30	$5,809.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $4,899.35 / $9,874.51	Facility		$4,066.65	$4,899.35	$9,874.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,260.30 / $4,453.95 / $5,577.12	Professional		$4,260.30	$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 $1,626.66 / $1,626.66 / $4,647.60	Professional		$1,626.66	$1,626.66	$4,647.60