Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,772.37 / $15,135.61	Professional		$7,413.10	$9,772.37	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $33,884.42 / $41,686.94	Professional		$13,803.84	$33,884.42	$41,686.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $13,489.63 / $18,620.87	Facility		$10,964.78	$13,489.63	$18,620.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $16,595.87 / $20,417.38	Professional		$13,489.63	$16,595.87	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,782.79 / $18,197.01	Facility		$17,378.01	$17,782.79	$18,197.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Professional		$18,197.01	$18,197.01	$18,197.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $15,135.61 / $22,908.68	Facility		$8,912.51	$15,135.61	$22,908.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $15,848.93 / $19,054.61	Professional		$87.10	$15,848.93	$19,054.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $25,703.96 / $69,183.10	Facility		$15,135.61	$25,703.96	$69,183.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $20,417.38 / $20,417.38	Professional		$18,620.87	$20,417.38	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $25,703.96 / $33,884.42	Facility		$10,471.29	$25,703.96	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,762.47 / $14,791.08	Professional		$7,244.36	$7,762.47	$14,791.08