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 $2,866.02 / $3,650.00 / $3,873.00	Professional		$2,866.02	$3,650.00	$3,873.00
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 $3,396.74 / $5,211.34 / $7,598.88	Professional		$3,396.74	$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 / $3,873.00 / $5,228.55	Professional		$3,873.00	$3,873.00	$5,228.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $7,331.59	Facility		$3,873.00	$3,873.00	$7,331.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,066.65 / $4,899.35 / $9,793.17	Facility		$4,066.65	$4,899.35	$9,793.17
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 / $15,204.24	Facility		$7,552.35	$11,785.54	$15,204.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,840.26 / $7,566.87 / $12,181.03	Professional		$6,840.26	$7,566.87	$12,181.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $4,066.65	Professional		$1,626.66	$1,626.66	$4,066.65