Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $4,716.06 / $7,634.56	Facility		$3,772.85	$4,716.06	$7,634.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,855.45 / $4,572.70	Professional		$3,772.85	$3,855.45	$4,572.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,601.20 / $7,012.08	Facility		$3,601.20	$3,601.20	$7,012.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,141.39	Professional		$3,817.28	$3,817.28	$4,141.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,720.08 / $8,165.51 / $9,596.19	Professional		$3,720.08	$8,165.51	$9,596.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $5,458.71 / $8,207.15	Facility		$3,817.28	$5,458.71	$8,207.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,389.87 / $4,962.46	Professional		$3,817.28	$4,389.87	$4,962.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $7,922.65	Facility		$3,601.20	$3,817.28	$7,922.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,876.08 / $4,273.72 / $6,245.52	Facility		$3,876.08	$4,273.72	$6,245.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,141.38 / $4,645.35	Professional		$3,817.28	$4,141.38	$4,645.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,062.71 / $5,074.30 / $11,475.45	Facility		$3,062.71	$5,074.30	$11,475.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,249.43	Professional		$3,817.28	$3,817.28	$4,249.43