Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,470.25 / $5,680.25 / $25,818.80	Professional		$3,470.25	$5,680.25	$25,818.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $6,541.83	Professional		$4,775.54	$4,775.54	$6,541.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,537.66 / $16,966.34 / $22,128.36	Professional		$6,537.66	$16,966.34	$22,128.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,680.25 / $7,781.94 / $9,339.51	Facility		$5,680.25	$7,781.94	$9,339.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,944.27 / $8,779.14 / $9,806.49	Professional		$6,944.27	$8,779.14	$9,806.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,405.56 / $9,339.51 / $10,710.54	Facility		$8,405.56	$9,339.51	$10,710.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,339.51 / $9,339.51 / $9,339.51	Professional		$9,339.51	$9,339.51	$9,339.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,680.25 / $8,021.36 / $9,806.49	Facility		$5,680.25	$8,021.36	$9,806.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $8,178.00 / $10,273.45	Professional		$4,775.54	$8,178.00	$10,273.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,781.16 / $15,531.26 / $32,765.97	Facility		$7,781.16	$15,531.26	$32,765.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,031.98 / $10,273.45 / $10,273.45	Professional		$8,031.98	$10,273.45	$10,273.45
United Facility/Professional Facility Modifier Low / Median / High Price $12,816.13 / $12,816.13 / $17,088.18	Facility		$12,816.13	$12,816.13	$17,088.18
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.99 / $3,996.14 / $7,624.12	Professional		$3,817.99	$3,996.14	$7,624.12