Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,309.57 / $10,232.93	Professional		$4,677.35	$6,309.57	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $22,908.68 / $28,183.83	Professional		$9,332.54	$22,908.68	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $9,120.11 / $13,489.63	Facility		$7,413.10	$9,120.11	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $9,772.37 / $13,182.57	Professional		$8,912.51	$9,772.37	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $12,022.64 / $14,125.38	Facility		$11,748.98	$12,022.64	$14,125.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,000.00 / $14,454.40	Facility		$6,025.60	$10,000.00	$14,454.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $10,715.19 / $12,589.25	Professional		$87.10	$10,715.19	$12,589.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $16,982.44 / $46,773.51	Facility		$10,000.00	$16,982.44	$46,773.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $13,489.63 / $13,489.63	Professional		$12,302.69	$13,489.63	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,079.46 / $22,908.68	Facility		$4,466.84	$7,079.46	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $10,000.00	Professional		$4,786.30	$5,248.07	$10,000.00