Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,050.00 / $4,698.00 / $9,072.00	Facility		$4,050.00	$4,698.00	$9,072.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,332.80 / $3,142.80 / $6,318.00	Professional		$2,332.80	$3,142.80	$6,318.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,265.00 / $7,392.42 / $9,413.82	Facility		$5,265.00	$7,392.42	$9,413.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,841.63 / $3,573.88 / $5,812.89	Professional		$2,841.63	$3,573.88	$5,812.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $7,114.24 / $8,525.20	Professional		$3,240.00	$7,114.24	$8,525.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $3,402.00 / $6,911.41	Facility		$2,430.00	$3,402.00	$6,911.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $4,374.00	Professional		$3,240.00	$3,240.00	$4,374.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,402.00 / $7,152.30	Facility		$3,240.00	$3,402.00	$7,152.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,402.00 / $4,098.60 / $7,392.42	Facility		$3,402.00	$4,098.60	$7,392.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,725.81 / $4,665.60	Professional		$3,240.00	$3,725.81	$4,665.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,318.00 / $9,859.32 / $12,719.92	Facility		$6,318.00	$9,859.32	$12,719.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,722.26 / $6,370.84 / $10,190.11	Professional		$5,722.26	$6,370.84	$10,190.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.11 / $1,360.80 / $3,888.00	Professional		$1,193.11	$1,360.80	$3,888.00