Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $7,762.47	Professional		$3,467.37	$4,897.79	$7,762.47
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 $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $17,378.01 / $21,379.62	Professional		$7,079.46	$17,378.01	$21,379.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $10,000.00	Facility		$5,623.41	$7,079.46	$10,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,585.78 / $10,232.93	Professional		$6,918.31	$7,585.78	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,332.54 / $9,772.37	Facility		$9,120.11	$9,332.54	$9,772.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $9,332.54	Professional		$7,413.10	$7,413.10	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,762.47 / $11,220.18	Facility		$4,897.79	$7,762.47	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $8,128.31 / $9,772.37	Professional		$87.10	$8,128.31	$9,772.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $13,182.57 / $35,481.34	Facility		$7,762.47	$13,182.57	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $10,471.29 / $10,471.29	Professional		$9,549.93	$10,471.29	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $17,378.01	Facility		$3,801.89	$5,370.32	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $7,585.78	Professional		$3,630.78	$3,981.07	$7,585.78