Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,386.40 / $3,725.04	Professional		$3,264.00	$3,386.40	$3,725.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $6,936.00	Facility		$3,468.00	$3,468.00	$6,936.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,470.04 / $6,705.48	Facility		$3,360.00	$3,470.04	$6,705.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.89 / $1,655.89 / $3,184.40	Professional		$1,655.89	$1,655.89	$3,184.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,876.00 / $3,876.00 / $3,876.00	Facility		$3,876.00	$3,876.00	$3,876.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,386.40 / $4,080.00 / $6,705.48	Facility		$3,386.40	$4,080.00	$6,705.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $4,200.00 / $4,845.00	Professional		$3,468.00	$4,200.00	$4,845.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $3,785.09 / $14,454.16	Facility		$2,968.00	$3,785.09	$14,454.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,682.20 / $3,876.00 / $3,876.00	Professional		$3,682.20	$3,876.00	$3,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,910.00	Professional		$3,400.00	$3,400.00	$3,910.00