Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,179.60 / $4,179.60 / $4,179.60	Facility		$4,179.60	$4,179.60	$4,179.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,651.66 / $3,651.66 / $3,651.66	Professional		$3,651.66	$3,651.66	$3,651.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,479.30 / $7,479.30 / $7,479.30	Facility		$7,479.30	$7,479.30	$7,479.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,960.41 / $6,035.41 / $6,718.59	Professional		$4,960.41	$6,035.41	$6,718.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,651.66 / $4,839.55 / $7,851.07	Facility		$3,651.66	$4,839.55	$7,851.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.94 / $888.94 / $1,709.50	Professional		$888.94	$888.94	$1,709.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,118.60 / $3,226.05 / $3,226.05	Facility		$2,118.60	$3,226.05	$3,226.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,651.66 / $5,221.87 / $8,359.21	Facility		$3,651.66	$5,221.87	$8,359.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $4,653.53 / $5,224.51	Professional		$3,739.65	$4,653.53	$5,224.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,179.60 / $4,179.60 / $4,179.60	Professional		$4,179.60	$4,179.60	$4,179.60
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $4,216.28	Professional		$3,666.33	$3,666.33	$4,216.28