Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,022.64 / $21,379.62	Facility		$4,677.35	$12,022.64	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $6,025.60	Professional		$3,162.28	$3,715.35	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $13,803.84	Facility		$7,762.47	$7,762.47	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $12,589.25	Professional		$4,786.30	$10,232.93	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,606.93	Facility		$4,786.30	$4,786.30	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $6,760.83	Professional		$4,073.80	$5,248.07	$6,760.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $7,413.10	Facility		$4,265.80	$5,248.07	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,606.93 / $12,589.25	Facility		$4,265.80	$6,606.93	$12,589.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,248.07 / $6,760.83	Professional		$79.43	$5,248.07	$6,760.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $14,454.40 / $19,054.61	Facility		$8,317.64	$14,454.40	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $5,754.40	Professional		$3,801.89	$4,073.80	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,585.78	Facility		$5,754.40	$5,754.40	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $5,754.40	Professional		$1,995.26	$1,995.26	$5,754.40