Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $5,370.32	Professional		$2,511.89	$3,388.44	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $12,022.64 / $15,488.17	Professional		$5,495.41	$12,022.64	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $7,585.78	Facility		$4,466.84	$5,623.41	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $8,128.31	Professional		$5,370.32	$5,888.44	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $7,413.10	Professional		$6,606.93	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,754.40 / $8,317.64	Facility		$3,388.44	$5,754.40	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $6,309.57 / $7,762.47	Professional		$87.10	$6,309.57	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,471.29 / $28,183.83	Facility		$6,165.95	$10,471.29	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,317.64 / $8,317.64	Professional		$7,585.78	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $12,022.64	Facility		$3,715.35	$9,120.11	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $5,370.32	Professional		$2,511.89	$2,754.23	$5,370.32