Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $1,976.55 / $4,032.84	Facility		$1,976.55	$1,976.55	$4,032.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,996.32 / $2,016.42 / $6,049.88	Professional		$1,996.32	$2,016.42	$6,049.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $2,733.69 / $3,850.46	Facility		$1,902.29	$2,733.69	$3,850.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,187.63	Professional		$2,016.42	$2,016.42	$2,187.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.02 / $4,340.13 / $5,082.60	Professional		$1,949.02	$4,340.13	$5,082.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,883.48 / $4,335.30	Facility		$2,016.42	$2,883.48	$4,335.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,137.41 / $2,621.35	Professional		$2,016.42	$2,137.41	$2,621.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,961.56 / $2,016.42 / $4,185.03	Facility		$1,961.56	$2,016.42	$4,185.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,733.69 / $4,335.30	Facility		$2,016.42	$2,733.69	$4,335.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,358.73 / $2,428.83	Professional		$2,016.42	$2,358.73	$2,428.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,858.61 / $3,046.49 / $6,889.59	Facility		$1,858.61	$3,046.49	$6,889.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42