Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,128.61 / $5,248.07	Facility		$3,981.07	$5,128.61	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $5,248.07	Professional		$4,897.79	$5,128.61	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,754.40	Professional		$4,570.88	$5,370.32	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,128.61 / $6,760.83	Facility		$3,019.95	$5,128.61	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $5,248.07	Professional		$3,019.95	$4,677.35	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $3,715.35	Facility		$2,691.53	$3,715.35	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,760.83 / $17,378.01	Facility		$4,365.16	$6,760.83	$17,378.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,248.07 / $7,244.36	Professional		$79.43	$5,248.07	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,623.41	Facility		$2,344.23	$2,344.23	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Professional		$5,128.61	$5,128.61	$6,165.95