Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,616.30 / $8,256.04	Facility		$4,125.55	$4,616.30	$8,256.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,128.02 / $4,991.92	Professional		$4,125.55	$4,128.02	$4,991.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $6,774.86 / $7,976.66	Facility		$3,894.36	$6,774.86	$7,976.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,673.22	Professional		$4,128.02	$4,128.02	$4,673.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,916.50 / $9,054.33 / $11,072.70	Professional		$6,916.50	$9,054.33	$11,072.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $4,125.55 / $6,315.87	Facility		$110.18	$4,125.55	$6,315.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,757.22 / $4,375.70 / $5,366.43	Professional		$3,757.22	$4,375.70	$5,366.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,744.38 / $12,384.06	Facility		$4,125.55	$4,744.38	$12,384.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $4,128.02 / $6,774.86	Facility		$130.90	$4,128.02	$6,774.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,551.00 / $4,438.75 / $5,070.83	Professional		$3,551.00	$4,438.75	$5,070.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $6,171.39 / $14,625.81	Facility		$79.28	$6,171.39	$14,625.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,540.82	Professional		$4,128.02	$4,128.02	$4,540.82
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,747.22	Professional		$4,128.02	$4,128.02	$4,747.22