Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $11,748.98	Professional		$5,495.41	$7,413.10	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $26,302.68 / $33,113.11	Professional		$10,232.93	$26,302.68	$33,113.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,232.93 / $15,135.61	Facility		$8,128.31	$10,232.93	$15,135.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,715.19 / $14,791.08	Professional		$10,000.00	$10,715.19	$14,791.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,489.63 / $16,218.10	Facility		$13,182.57	$13,489.63	$16,218.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $16,218.10	Facility		$6,760.83	$11,220.18	$16,218.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $11,748.98 / $14,125.38	Professional		$87.10	$11,748.98	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $19,054.61 / $51,286.14	Facility		$11,220.18	$19,054.61	$51,286.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $15,135.61 / $15,135.61	Professional		$13,803.84	$15,135.61	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,317.64 / $26,915.35	Facility		$5,128.61	$8,317.64	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,165.95 / $11,748.98	Professional		$5,495.41	$6,165.95	$11,748.98