Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.04 / $4,411.80 / $4,411.80	Facility		$1,899.04	$4,411.80	$4,411.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,854.52 / $3,854.52 / $3,854.52	Professional		$3,854.52	$3,854.52	$3,854.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,894.80 / $7,894.80 / $7,894.80	Facility		$7,894.80	$7,894.80	$7,894.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,537.89 / $14,461.86 / $17,010.43	Professional		$12,537.89	$14,461.86	$17,010.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,854.52 / $5,108.39 / $8,287.21	Facility		$3,854.52	$5,108.39	$8,287.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.98 / $2,488.98 / $4,786.53	Professional		$2,488.98	$2,488.98	$4,786.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,411.80 / $7,617.90 / $12,696.50	Facility		$4,411.80	$7,617.90	$12,696.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,854.52 / $7,632.41 / $12,941.28	Facility		$3,854.52	$7,632.41	$12,941.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $8,088.30 / $11,323.62	Professional		$3,947.40	$8,088.30	$11,323.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,411.80 / $4,411.80 / $4,411.80	Professional		$4,411.80	$4,411.80	$4,411.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,450.50	Professional		$3,870.00	$3,870.00	$4,450.50