Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,162.28	Professional		$1,348.96	$1,862.09	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $7,244.36	Facility		$4,073.80	$4,073.80	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $3,548.13	Professional		$2,511.89	$2,884.03	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $6,309.57	Professional		$2,511.89	$5,370.32	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $3,388.44	Professional		$2,511.89	$2,884.03	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,890.45	Facility		$2,238.72	$2,754.23	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $7,244.36	Facility		$2,398.83	$3,467.37	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,467.37	Professional		$79.43	$2,630.27	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,244.36 / $9,772.37	Facility		$3,715.35	$7,244.36	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $3,019.95	Professional		$1,862.09	$2,238.72	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,981.07	Facility		$3,019.95	$3,019.95	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $3,019.95	Professional		$1,047.13	$1,047.13	$3,019.95