Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $4,299.17 / $7,321.66	Facility		$3,638.86	$4,299.17	$7,321.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,638.86 / $3,808.72 / $7,338.83	Professional		$3,638.86	$3,808.72	$7,338.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $5,023.64 / $7,130.64	Facility		$3,453.62	$5,023.64	$7,130.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,971.66	Professional		$3,660.83	$3,660.83	$3,971.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,588.04 / $7,989.94 / $9,340.54	Professional		$3,588.04	$7,989.94	$9,340.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $4,953.71 / $7,870.78	Facility		$414.00	$4,953.71	$7,870.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,880.48 / $4,759.08	Professional		$3,660.83	$3,880.48	$4,759.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $4,213.41 / $10,916.58	Facility		$3,638.86	$4,213.41	$10,916.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,431.84 / $3,777.81 / $6,614.10	Facility		$3,431.84	$3,777.81	$6,614.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $3,971.66 / $4,437.56	Professional		$444.00	$3,971.66	$4,437.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,110.56 / $5,515.30 / $10,583.24	Facility		$3,110.56	$5,515.30	$10,583.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83