Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $7,244.36	Professional		$3,630.78	$4,570.88	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $16,595.87 / $20,417.38	Professional		$6,309.57	$16,595.87	$20,417.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $8,709.64	Facility		$5,011.87	$6,165.95	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,606.93 / $8,912.51	Professional		$6,025.60	$6,606.93	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $8,128.31 / $8,511.38	Facility		$7,943.28	$8,128.31	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $10,471.29	Facility		$4,265.80	$7,079.46	$10,471.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $7,079.46 / $8,709.64	Professional		$87.10	$7,079.46	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $31,622.78	Facility		$6,760.83	$11,481.54	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,120.11 / $9,120.11	Professional		$8,317.64	$9,120.11	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $12,302.69 / $16,595.87	Facility		$5,011.87	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $7,244.36	Professional		$3,467.37	$3,801.89	$7,244.36