Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,537.50 / $2,943.50 / $5,684.00	Facility		$2,537.50	$2,943.50	$5,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,969.10 / $3,958.50	Professional		$1,320.80	$1,969.10	$3,958.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,298.75 / $3,298.75 / $5,898.17	Facility		$3,298.75	$3,298.75	$5,898.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $2,731.68 / $3,983.18	Professional		$141.44	$2,731.68	$3,983.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $4,457.32 / $5,341.34	Professional		$2,030.00	$4,457.32	$5,341.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $2,131.50 / $4,466.00	Facility		$1,522.50	$2,131.50	$4,466.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,740.50	Professional		$2,030.00	$2,030.00	$2,740.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $3,842.79	Facility		$2,030.00	$2,030.00	$3,842.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,131.50 / $2,567.94 / $4,927.71	Facility		$2,131.50	$2,567.94	$4,927.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,233.00 / $2,334.50 / $2,923.20	Professional		$2,233.00	$2,334.50	$2,923.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,060.00 / $6,177.29 / $7,969.58	Facility		$4,060.00	$6,177.29	$7,969.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,585.02 / $3,991.81 / $6,384.14	Professional		$3,585.02	$3,991.81	$6,384.14
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $852.60 / $2,131.50	Professional		$852.60	$852.60	$2,131.50