Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $10,964.78	Professional		$5,011.87	$6,606.93	$10,964.78
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $23,988.33 / $29,512.09	Professional		$8,511.38	$23,988.33	$29,512.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,803.84	Facility		$7,079.46	$8,317.64	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,912.51 / $12,022.64	Professional		$8,317.64	$8,912.51	$12,022.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $11,220.18 / $14,125.38	Facility		$10,715.19	$11,220.18	$14,125.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $11,220.18	Professional		$8,912.51	$8,912.51	$11,220.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,772.37 / $14,454.40	Facility		$6,309.57	$9,772.37	$14,454.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $9,772.37 / $11,748.98	Professional		$87.10	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $15,848.93 / $42,657.95	Facility		$9,332.54	$15,848.93	$42,657.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,589.25 / $12,589.25	Professional		$11,220.18	$12,589.25	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,585.78 / $23,988.33	Facility		$4,466.84	$7,585.78	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $10,471.29	Professional		$5,011.87	$5,495.41	$10,471.29