Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,799.35 / $4,799.35 / $4,799.35	Facility		$4,799.35	$4,799.35	$4,799.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,193.12 / $4,193.12 / $4,193.12	Professional		$4,193.12	$4,193.12	$4,193.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,588.32 / $8,588.32 / $8,588.32	Facility		$8,588.32	$8,588.32	$8,588.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,405.98 / $11,241.84 / $11,816.72	Professional		$9,405.98	$11,241.84	$11,816.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,193.12 / $5,557.15 / $9,015.20	Facility		$4,193.12	$5,557.15	$9,015.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,799.35 / $5,010.93 / $8,351.54	Facility		$4,799.35	$5,010.93	$8,351.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,193.12 / $5,996.16 / $9,015.20	Facility		$4,193.12	$5,996.16	$9,015.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $5,447.26 / $8,398.86	Professional		$4,294.16	$5,447.26	$8,398.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,799.35 / $4,799.35 / $4,799.35	Professional		$4,799.35	$4,799.35	$4,799.35
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,841.45	Professional		$4,209.96	$4,209.96	$4,841.45