Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,704.22 / $3,704.22 / $3,704.22	Facility		$3,704.22	$3,704.22	$3,704.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,057.35 / $2,057.35 / $11,840.10	Professional		$2,057.35	$2,057.35	$11,840.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $3,206.26	Professional		$2,271.73	$2,672.64	$3,206.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,855.63 / $3,671.52 / $11,875.85	Professional		$2,855.63	$3,671.52	$11,875.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.21 / $3,322.80 / $4,079.47	Facility		$2,160.21	$3,322.80	$4,079.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $3,319.48 / $4,079.47	Professional		$387.55	$3,319.48	$4,079.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,825.43 / $4,079.47 / $4,675.53	Facility		$3,825.43	$4,079.47	$4,675.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,067.89 / $4,079.47 / $4,487.42	Professional		$4,067.89	$4,079.47	$4,487.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,057.35 / $3,322.80 / $4,418.89	Facility		$2,057.35	$3,322.80	$4,418.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,672.64 / $3,611.32 / $4,139.25	Professional		$2,672.64	$3,611.32	$4,139.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,801.64 / $5,801.64 / $6,824.26	Facility		$5,801.64	$5,801.64	$6,824.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,936.08 / $3,936.08 / $3,936.08	Professional		$3,936.08	$3,936.08	$3,936.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,764.91 / $2,047.28 / $3,960.65	Professional		$1,764.91	$2,047.28	$3,960.65