Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,185.60 / $7,706.98 / $34,534.90	Professional		$5,185.60	$7,706.98	$34,534.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $5,928.46	Professional		$5,928.46	$5,928.46	$5,928.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,870.32 / $25,353.27 / $33,067.03	Professional		$8,870.32	$25,353.27	$33,067.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,706.98 / $10,558.56 / $12,671.88	Facility		$7,706.98	$10,558.56	$12,671.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9,422.03 / $11,911.57 / $13,305.47	Professional		$9,422.03	$11,911.57	$13,305.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,404.69 / $12,671.88 / $16,473.43	Facility		$11,404.69	$12,671.88	$16,473.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,066.70 / $10,066.70 / $10,066.70	Professional		$10,066.70	$10,066.70	$10,066.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,547.64 / $10,883.42 / $13,305.47	Facility		$7,547.64	$10,883.42	$13,305.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $11,095.94 / $13,939.07	Professional		$5,928.46	$11,095.94	$13,939.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,557.51 / $21,072.88 / $44,456.99	Facility		$10,557.51	$21,072.88	$44,456.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,897.82 / $13,939.07 / $13,939.07	Professional		$10,897.82	$13,939.07	$13,939.07
United Facility/Professional Professional Modifier Low / Median / High Price $5,705.24 / $5,971.46 / $11,392.76	Professional		$5,705.24	$5,971.46	$11,392.76