Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $3,717.32 / $4,232.64	Facility		$2,113.23	$3,717.32	$4,232.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,557.02 / $4,067.00	Professional		$2,116.32	$2,557.02	$4,067.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $2,926.29 / $4,157.42	Facility		$1,996.53	$2,926.29	$4,157.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,296.01	Professional		$2,116.32	$2,116.32	$2,296.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,083.61 / $4,639.83 / $5,440.93	Professional		$2,083.61	$4,639.83	$5,440.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.68 / $2,669.21 / $4,550.09	Facility		$1,435.68	$2,669.21	$4,550.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,243.30 / $2,751.22	Professional		$2,116.32	$2,243.30	$2,751.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,641.55 / $6,339.72	Facility		$2,113.23	$2,641.55	$6,339.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $2,926.29 / $4,550.09	Facility		$1,996.53	$2,926.29	$4,550.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,309.92 / $2,296.01 / $2,591.67	Professional		$1,309.92	$2,296.01	$2,591.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,906.93 / $3,232.41 / $7,310.04	Facility		$1,906.93	$3,232.41	$7,310.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32