Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,982.44 / $5,210.58 / $5,210.58	Facility		$3,982.44	$5,210.58	$5,210.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,087.97 / $5,087.97 / $5,087.97	Professional		$5,087.97	$5,087.97	$5,087.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,421.16 / $10,421.16 / $10,421.16	Facility		$10,421.16	$10,421.16	$10,421.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,581.17 / $5,284.18 / $5,701.34	Professional		$4,581.17	$5,284.18	$5,701.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,581.18 / $5,972.95 / $10,939.14	Facility		$4,581.18	$5,972.95	$10,939.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,697.25 / $4,045.53 / $5,187.03	Professional		$2,697.25	$4,045.53	$5,187.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,087.97 / $6,932.84 / $11,092.54	Facility		$5,087.97	$6,932.84	$11,092.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $6,555.64 / $8,413.45	Professional		$5,210.58	$6,555.64	$8,413.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,823.59 / $5,823.59 / $5,823.59	Professional		$5,823.59	$5,823.59	$5,823.59
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $5,874.67	Professional		$5,108.41	$5,108.41	$5,874.67