Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,562.22 / $7,378.86 / $30,415.80	Professional		$4,562.22	$7,378.86	$30,415.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $8,136.27	Professional		$5,939.48	$5,939.48	$8,136.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,492.67 / $22,305.04 / $29,091.35	Professional		$8,492.67	$22,305.04	$29,091.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,378.86 / $10,109.04 / $12,132.38	Facility		$7,378.86	$10,109.04	$12,132.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9,020.89 / $11,404.44 / $12,739.00	Professional		$9,020.89	$11,404.44	$12,739.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,919.14 / $12,132.38 / $15,444.88	Facility		$10,919.14	$12,132.38	$15,444.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,638.11 / $9,638.11 / $9,638.11	Professional		$9,638.11	$9,638.11	$9,638.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,378.86 / $10,420.06 / $12,739.00	Facility		$7,378.86	$10,420.06	$12,739.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $10,623.54 / $13,345.62	Professional		$5,939.48	$10,623.54	$13,345.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,108.03 / $20,175.70 / $42,564.28	Facility		$10,108.03	$20,175.70	$42,564.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,433.85 / $13,345.62 / $13,345.62	Professional		$10,433.85	$13,345.62	$13,345.62
United Facility/Professional Professional Modifier Low / Median / High Price $5,019.38 / $5,253.60 / $10,023.18	Professional		$5,019.38	$5,253.60	$10,023.18