Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $8,511.38 / $12,302.69	Professional		$6,309.57	$8,511.38	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $30,902.95 / $38,904.51	Professional		$10,964.78	$30,902.95	$38,904.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,964.78 / $16,595.87	Facility		$8,709.64	$10,964.78	$16,595.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $11,481.54 / $15,488.17	Professional		$10,715.19	$11,481.54	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,454.40 / $19,054.61	Facility		$14,125.38	$14,454.40	$19,054.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,022.64 / $17,782.79	Facility		$7,762.47	$12,022.64	$17,782.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $12,589.25 / $15,135.61	Professional		$87.10	$12,589.25	$15,135.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $20,417.38 / $54,954.09	Facility		$12,022.64	$20,417.38	$54,954.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $16,218.10 / $16,218.10	Professional		$14,791.08	$16,218.10	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $9,772.37 / $30,902.95	Facility		$6,025.60	$9,772.37	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,079.46 / $13,489.63	Professional		$6,456.54	$7,079.46	$13,489.63