Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,479.20 / $6,104.34 / $28,958.60	Professional		$4,479.20	$6,104.34	$28,958.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $6,652.12	Facility		$6,652.12	$6,652.12	$6,652.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $6,652.12	Professional		$4,856.05	$4,856.05	$6,652.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,025.77 / $19,537.32 / $25,481.56	Professional		$7,025.77	$19,537.32	$25,481.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,104.34 / $8,362.95 / $10,036.81	Facility		$6,104.34	$8,362.95	$10,036.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,462.74 / $9,434.60 / $10,538.65	Professional		$7,462.74	$9,434.60	$10,538.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,033.12 / $10,036.81 / $11,412.92	Facility		$9,033.12	$10,036.81	$11,412.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,104.34 / $8,620.24 / $10,538.65	Facility		$6,104.34	$8,620.24	$10,538.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $8,788.58 / $11,040.49	Professional		$4,856.05	$8,788.58	$11,040.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,362.11 / $16,690.84 / $35,212.32	Facility		$8,362.11	$16,690.84	$35,212.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,631.66 / $11,040.49 / $11,040.49	Professional		$8,631.66	$11,040.49	$11,040.49
United Facility/Professional Professional Modifier Low / Median / High Price $4,396.49 / $4,601.64 / $8,779.35	Professional		$4,396.49	$4,601.64	$8,779.35