Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $17,378.01	Facility		$4,786.30	$6,025.60	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $7,079.46	Professional		$2,570.40	$3,235.94	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $11,220.18	Facility		$6,309.57	$6,309.57	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $6,025.60	Professional		$2,187.76	$3,630.78	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $8,317.64 / $10,232.93	Professional		$3,890.45	$8,317.64	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $5,370.32	Professional		$3,630.78	$4,677.35	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $5,754.40	Facility		$3,890.45	$4,073.80	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $11,220.18	Facility		$3,467.37	$5,370.32	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $5,623.41	Professional		$3,630.78	$4,265.80	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $11,748.98 / $15,848.93	Facility		$5,754.40	$11,748.98	$15,848.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,311.31 / $4,677.35	Professional		$3,090.30	$3,311.31	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,165.95	Facility		$4,677.35	$4,677.35	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,677.35	Professional		$1,621.81	$1,621.81	$4,677.35