Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,603.63 / $6,212.15 / $29,466.60	Professional		$4,603.63	$6,212.15	$29,466.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $7,261.93	Professional		$5,301.21	$5,301.21	$7,261.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,149.85 / $19,587.75 / $25,547.32	Professional		$7,149.85	$19,587.75	$25,547.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,212.15 / $8,510.65 / $10,214.07	Facility		$6,212.15	$8,510.65	$10,214.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,594.57 / $9,601.23 / $10,214.07	Professional		$7,594.57	$9,601.23	$10,214.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,192.66 / $10,214.07 / $11,551.73	Facility		$9,192.66	$10,214.07	$11,551.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,114.19 / $8,114.19 / $8,114.19	Professional		$8,114.19	$8,114.19	$8,114.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,212.15 / $8,772.52 / $10,724.77	Facility		$6,212.15	$8,772.52	$10,724.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $8,943.79 / $11,235.48	Professional		$5,301.21	$8,943.79	$11,235.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,509.79 / $16,985.62 / $35,834.23	Facility		$8,509.79	$16,985.62	$35,834.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,784.10 / $11,235.48 / $11,235.48	Professional		$8,784.10	$11,235.48	$11,235.48
United Facility/Professional Professional Modifier Low / Median / High Price $4,407.81 / $4,613.50 / $8,801.95	Professional		$4,407.81	$4,613.50	$8,801.95