Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,588.75 / $4,162.95 / $8,038.80	Facility		$3,588.75	$4,162.95	$8,038.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.76 / $2,440.35 / $5,598.45	Professional		$1,807.76	$2,440.35	$5,598.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,665.38 / $5,534.47 / $8,341.69	Facility		$4,665.38	$5,534.47	$8,341.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.87 / $3,166.80 / $5,150.83	Professional		$2,517.87	$3,166.80	$5,150.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $6,303.87 / $7,554.15	Professional		$2,871.00	$6,303.87	$7,554.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,153.25 / $3,014.55 / $5,987.47	Facility		$2,153.25	$3,014.55	$5,987.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $3,875.85	Professional		$2,871.00	$2,871.00	$3,875.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $3,014.55 / $6,337.73	Facility		$2,871.00	$3,014.55	$6,337.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,014.55 / $3,631.82 / $6,316.20	Facility		$3,014.55	$3,631.82	$6,316.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $3,158.10 / $4,134.24	Professional		$2,871.00	$3,158.10	$4,134.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,598.45 / $8,736.45 / $11,271.26	Facility		$5,598.45	$8,736.45	$11,271.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,070.49 / $5,645.43 / $9,029.45	Professional		$5,070.49	$5,645.43	$9,029.45
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $1,205.82 / $3,014.55	Professional		$893.25	$1,205.82	$3,014.55