Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,454.57 / $7,421.17 / $12,816.80	Facility		$6,454.57	$7,421.17	$12,816.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,472.46 / $14,657.40	Professional		$6,408.38	$6,472.46	$14,657.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $8,609.58 / $12,920.06	Facility		$6,045.64	$8,609.58	$12,920.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,952.48	Professional		$6,408.38	$6,408.38	$6,952.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,364.06 / $14,171.65 / $16,416.55	Professional		$6,364.06	$14,171.65	$16,416.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $8,572.91 / $13,778.02	Facility		$273.60	$8,572.91	$13,778.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,792.88 / $8,330.89	Professional		$6,408.38	$6,792.88	$8,330.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $7,375.68 / $14,271.48	Facility		$6,408.38	$7,375.68	$14,271.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $8,609.58 / $13,778.02	Facility		$6,045.64	$8,609.58	$13,778.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $6,952.49 / $8,152.25	Professional		$250.80	$6,952.49	$8,152.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,708.59 / $9,219.37 / $20,849.48	Facility		$5,708.59	$9,219.37	$20,849.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38