Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,607.10 / $5,607.10 / $14,227.95	Facility		$5,607.10	$5,607.10	$14,227.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,501.51 / $3,409.11 / $16,172.60	Professional		$2,501.51	$3,409.11	$16,172.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $3,855.99 / $4,536.46	Professional		$3,855.99	$3,855.99	$4,536.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,923.69 / $10,869.13 / $14,176.08	Professional		$3,923.69	$10,869.13	$14,176.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,808.26 / $4,810.22 / $5,605.27	Facility		$2,808.26	$4,810.22	$5,605.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,167.74 / $5,044.74 / $5,605.27	Professional		$4,167.74	$5,044.74	$5,605.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,044.74 / $5,605.27 / $6,399.27	Facility		$5,044.74	$5,605.27	$6,399.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,452.89 / $4,452.89 / $5,605.27	Professional		$4,452.89	$4,452.89	$5,605.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,808.26 / $4,670.47 / $5,605.27	Facility		$2,808.26	$4,670.47	$5,605.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,908.18 / $6,165.80	Professional		$3,855.99	$4,908.18	$6,165.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,876.58 / $6,165.80 / $6,165.80	Professional		$4,876.58	$6,165.80	$6,165.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,445.94 / $2,560.09 / $4,884.32	Professional		$2,445.94	$2,560.09	$4,884.32