Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $8,709.64	Professional		$4,466.84	$5,495.41	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $19,952.62 / $24,547.09	Professional		$7,762.47	$19,952.62	$24,547.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,585.78 / $10,471.29	Facility		$6,165.95	$7,585.78	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,128.31 / $10,964.78	Professional		$7,413.10	$8,128.31	$10,964.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $10,000.00 / $10,471.29	Facility		$9,772.37	$10,000.00	$10,471.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,317.64 / $12,022.64	Facility		$5,370.32	$8,317.64	$12,022.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $8,709.64 / $10,471.29	Professional		$79.43	$8,709.64	$10,471.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $14,125.38 / $38,904.51	Facility		$8,317.64	$14,125.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,220.18 / $11,220.18	Professional		$10,232.93	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $15,135.61 / $19,952.62	Facility		$6,025.60	$15,135.61	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $8,709.64	Professional		$4,168.69	$4,570.88	$8,709.64