Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $14,544.00 / $69,948.60	Facility		$6,181.20	$14,544.00	$69,948.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,035.76 / $6,253.92	Professional		$5,817.60	$6,035.76	$6,253.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,301.26 / $5,301.26 / $12,362.40	Facility		$5,301.26	$5,301.26	$12,362.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,349.80 / $1,625.89 / $2,061.02	Professional		$1,349.80	$1,625.89	$2,061.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.25 / $6,035.76 / $8,631.14	Facility		$988.25	$6,035.76	$8,631.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $850.45 / $934.45 / $6,891.64	Professional		$850.45	$934.45	$6,891.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,446.93 / $79,999.20 / $79,999.20	Facility		$7,446.93	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,087.20 / $6,035.76 / $8,450.06	Facility		$1,087.20	$6,035.76	$8,450.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,551.47 / $6,939.34 / $6,939.34	Professional		$5,551.47	$6,939.34	$6,939.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,991.09 / $6,331.38 / $13,251.49	Facility		$3,991.09	$6,331.38	$13,251.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,060.00 / $6,969.00	Professional		$6,060.00	$6,060.00	$6,969.00