Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $5,711.60 / $9,373.70	Facility		$4,672.47	$5,711.60	$9,373.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,733.72 / $10,493.60	Professional		$4,686.85	$4,733.72	$10,493.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $6,590.91 / $9,375.32	Facility		$4,421.56	$6,590.91	$9,375.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,084.79	Professional		$4,686.85	$4,686.85	$5,084.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,607.04 / $10,259.07 / $12,254.62	Professional		$4,607.04	$10,259.07	$12,254.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,203.20 / $6,018.10 / $10,076.73	Facility		$3,203.20	$6,018.10	$10,076.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,968.07 / $6,092.91	Professional		$4,686.85	$4,968.07	$6,092.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $5,840.59 / $9,748.65	Facility		$4,672.47	$5,840.59	$9,748.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $6,590.91 / $10,076.73	Facility		$4,421.56	$6,590.91	$10,076.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,082.96 / $5,084.79 / $5,821.98	Professional		$3,082.96	$5,084.79	$5,821.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,087.67 / $7,088.36 / $15,487.62	Facility		$4,087.67	$7,088.36	$15,487.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,687.66	Professional		$4,686.85	$4,686.85	$4,687.66