Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $10,232.93	Professional		$4,786.30	$6,309.57	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $22,908.68 / $28,183.83	Professional		$8,128.31	$22,908.68	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,128.31 / $13,182.57	Facility		$6,760.83	$8,128.31	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $8,511.38 / $11,481.54	Professional		$7,943.28	$8,511.38	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,715.19 / $13,803.84	Facility		$10,471.29	$10,715.19	$13,803.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $10,715.19	Professional		$8,511.38	$8,511.38	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,332.54 / $13,803.84	Facility		$5,888.44	$9,332.54	$13,803.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $9,332.54 / $11,220.18	Professional		$87.10	$9,332.54	$11,220.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $15,135.61 / $40,738.03	Facility		$8,912.51	$15,135.61	$40,738.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,022.64 / $12,022.64	Professional		$10,715.19	$12,022.64	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,244.36 / $22,908.68	Facility		$4,365.16	$7,244.36	$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