Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,187.20 / $3,840.00	Professional		$3,072.00	$3,187.20	$3,840.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $3,366.00 / $6,528.00	Facility		$3,366.00	$3,366.00	$6,528.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,187.20 / $3,265.92 / $6,311.04	Facility		$3,187.20	$3,265.92	$6,311.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.55 / $2,426.55 / $4,666.45	Professional		$2,426.55	$2,426.55	$4,666.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,187.20 / $3,840.00 / $6,311.04	Facility		$3,187.20	$3,840.00	$6,311.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $4,560.00 / $4,950.00	Professional		$3,264.00	$4,560.00	$4,950.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,498.00 / $4,461.00 / $15,267.45	Facility		$3,498.00	$4,461.00	$15,267.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,465.60 / $3,648.00 / $3,648.00	Professional		$3,465.60	$3,648.00	$3,648.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,680.00	Professional		$3,200.00	$3,200.00	$3,680.00