Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,739.20 / $4,518.20 / $8,724.79	Facility		$3,739.20	$4,518.20	$8,724.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $2,929.04 / $6,076.20	Professional		$320.58	$2,929.04	$6,076.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,063.50 / $7,797.79 / $9,053.54	Facility		$5,063.50	$7,797.79	$9,053.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,284.40 / $3,436.88 / $5,590.25	Professional		$3,284.40	$3,436.88	$5,590.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $6,841.52 / $8,198.40	Professional		$3,116.00	$6,841.52	$8,198.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $3,271.80 / $6,855.20	Facility		$2,337.00	$3,271.80	$6,855.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $4,206.60	Professional		$3,116.00	$3,116.00	$4,206.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $3,271.80 / $6,878.57	Facility		$3,116.00	$3,271.80	$6,878.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,271.80 / $3,941.74 / $7,797.79	Facility		$3,271.80	$3,941.74	$7,797.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,312.26 / $3,583.40 / $4,487.04	Professional		$3,312.26	$3,583.40	$4,487.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,076.20 / $9,481.99 / $12,233.10	Facility		$6,076.20	$9,481.99	$12,233.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,503.21 / $6,127.22 / $9,800.03	Professional		$5,503.21	$6,127.22	$9,800.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,308.72 / $3,739.20	Professional		$1,308.72	$1,308.72	$3,739.20