Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,426.09 / $4,669.12 / $22,150.00	Professional		$3,426.09	$4,669.12	$22,150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $4,391.66	Professional		$3,732.91	$3,732.91	$4,391.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,373.90 / $14,886.84 / $19,416.16	Professional		$5,373.90	$14,886.84	$19,416.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,669.12 / $6,396.69 / $7,677.00	Facility		$4,669.12	$6,396.69	$7,677.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,708.13 / $6,909.30 / $7,677.00	Professional		$5,708.13	$6,909.30	$7,677.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,909.30 / $7,677.00 / $8,764.42	Facility		$6,909.30	$7,677.00	$8,764.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $5,976.47 / $7,677.00	Facility		$4,391.66	$5,976.47	$7,677.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $6,722.25 / $8,444.70	Professional		$3,732.91	$6,722.25	$8,444.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,678.99 / $8,444.70 / $8,444.70	Professional		$6,678.99	$8,444.70	$8,444.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,349.99 / $3,506.32 / $6,689.60	Professional		$3,349.99	$3,506.32	$6,689.60