Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $3,990.00	Facility		$3,990.00	$3,990.00	$3,990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,486.00 / $3,486.00 / $3,990.00	Professional		$3,486.00	$3,486.00	$3,990.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $798.02 / $6,768.24	Facility		$798.02	$798.02	$6,768.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,416.25 / $9,707.76 / $10,474.16	Professional		$8,416.25	$9,707.76	$10,474.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,617.86 / $4,620.00 / $7,778.40	Facility		$3,617.86	$4,620.00	$7,778.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.43 / $1,037.43 / $1,995.05	Professional		$1,037.43	$1,037.43	$1,995.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $4,947.41 / $8,245.69	Facility		$3,990.00	$4,947.41	$8,245.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,617.86 / $4,987.50 / $7,980.00	Facility		$3,617.86	$4,987.50	$7,980.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $4,987.50 / $6,982.50	Professional		$3,384.12	$4,987.50	$6,982.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $3,990.00	Professional		$3,990.00	$3,990.00	$3,990.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,830.00	Professional		$4,200.00	$4,200.00	$4,830.00