Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.89 / $3,038.07 / $5,216.32	Facility		$2,543.89	$3,038.07	$5,216.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,569.33 / $2,608.16 / $4,375.57	Professional		$2,569.33	$2,608.16	$4,375.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $4,640.14 / $5,346.86	Facility		$2,460.53	$4,640.14	$5,346.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,952.63	Professional		$2,608.16	$2,608.16	$2,952.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,032.55 / $5,638.81 / $7,189.87	Professional		$4,032.55	$5,638.81	$7,189.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.20 / $2,608.16 / $4,700.50	Facility		$1,698.20	$2,608.16	$4,700.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,390.61	Professional		$2,608.16	$2,764.65	$3,390.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,543.89 / $3,001.84 / $7,824.48	Facility		$2,543.89	$3,001.84	$7,824.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,805.45 / $2,738.57 / $4,700.50	Facility		$1,805.45	$2,738.57	$4,700.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,581.65 / $2,921.23 / $3,415.66	Professional		$2,581.65	$2,921.23	$3,415.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,076.08 / $3,856.18 / $8,720.70	Facility		$2,076.08	$3,856.18	$8,720.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,868.98	Professional		$2,608.16	$2,608.16	$2,868.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,999.38	Professional		$2,608.16	$2,608.16	$2,999.38