Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $5,971.64 / $10,336.50	Facility		$4,968.58	$5,971.64	$10,336.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,018.27 / $5,219.91 / $10,407.00	Professional		$5,018.27	$5,219.91	$10,407.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $7,174.50 / $9,937.16	Facility		$4,875.68	$7,174.50	$9,937.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,607.04	Professional		$5,168.22	$5,168.22	$5,607.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,898.85 / $10,908.90 / $13,339.75	Professional		$4,898.85	$10,908.90	$13,339.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.68 / $6,565.68 / $11,111.69	Facility		$1,084.68	$6,565.68	$11,111.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,478.32 / $6,718.70	Professional		$5,168.22	$5,478.32	$6,718.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $6,210.73 / $10,749.92	Facility		$4,968.58	$6,210.73	$10,749.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $7,174.50 / $11,111.69	Facility		$4,875.68	$7,174.50	$11,111.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,120.26 / $5,607.04 / $6,337.48	Professional		$1,120.26	$5,607.04	$6,337.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,293.35 / $7,418.62 / $14,873.98	Facility		$4,293.35	$7,418.62	$14,873.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22