Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $7,413.10	Professional		$3,235.94	$4,265.80	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $15,488.17 / $19,054.61	Professional		$5,888.44	$15,488.17	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $6,760.83	Facility		$4,677.35	$5,888.44	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,165.95 / $8,317.64	Professional		$5,754.40	$6,165.95	$8,317.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,585.78 / $7,762.47	Facility		$7,413.10	$7,585.78	$7,762.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,762.47	Professional		$7,079.46	$7,079.46	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,456.54 / $8,912.51	Facility		$4,073.80	$6,456.54	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $6,760.83 / $8,128.31	Professional		$87.10	$6,760.83	$8,128.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,964.78 / $29,512.09	Facility		$6,456.54	$10,964.78	$29,512.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,709.64 / $8,709.64	Professional		$7,762.47	$8,709.64	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,786.30 / $15,488.17	Facility		$3,019.95	$4,786.30	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $6,760.83	Professional		$3,235.94	$3,548.13	$6,760.83