Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,782.77 / $5,155.18 / $24,455.90	Professional		$3,782.77	$5,155.18	$24,455.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $6,042.00	Professional		$4,410.66	$4,410.66	$6,042.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,933.35 / $16,432.25 / $21,431.78	Professional		$5,933.35	$16,432.25	$21,431.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,155.18 / $7,062.61 / $8,476.20	Facility		$5,155.18	$7,062.61	$8,476.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,302.39 / $7,863.67 / $8,476.20	Professional		$6,302.39	$7,863.67	$8,476.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,728.23 / $8,476.20 / $9,323.83	Facility		$6,728.23	$8,476.20	$9,323.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,628.59 / $8,476.20 / $8,779.60	Professional		$7,628.59	$8,476.20	$8,779.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,155.18 / $7,279.91 / $8,900.02	Facility		$5,155.18	$7,279.91	$8,900.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $7,422.07 / $9,323.83	Professional		$4,410.66	$7,422.07	$9,323.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,061.91 / $14,095.62 / $29,737.27	Facility		$7,061.91	$14,095.62	$29,737.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,289.54 / $9,323.83 / $9,323.83	Professional		$7,289.54	$9,323.83	$9,323.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,697.83 / $3,870.38 / $7,384.18	Professional		$3,697.83	$3,870.38	$7,384.18