Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,387.64 / $6,211.61 / $29,785.70	Professional		$4,387.64	$6,211.61	$29,785.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $4,834.71 / $5,687.89	Professional		$4,834.71	$4,834.71	$5,687.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,149.22 / $19,280.93 / $25,147.16	Professional		$7,149.22	$19,280.93	$25,147.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,211.61 / $8,882.60 / $10,344.16	Facility		$6,211.61	$8,882.60	$10,344.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,730.71 / $9,721.04 / $10,723.83	Professional		$7,730.71	$9,721.04	$10,723.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,973.79 / $10,213.17 / $11,346.06	Facility		$9,973.79	$10,213.17	$11,346.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,272.92 / $7,272.92 / $7,272.92	Professional		$7,272.92	$7,272.92	$7,272.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,211.61 / $8,943.01 / $10,213.17	Facility		$6,211.61	$8,943.01	$10,213.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $8,943.01 / $11,234.49	Professional		$4,834.71	$8,943.01	$11,234.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,885.45 / $11,234.49 / $11,234.49	Professional		$8,885.45	$11,234.49	$11,234.49
United Facility/Professional Professional Modifier Low / Median / High Price $4,338.77 / $4,541.22 / $8,704.02	Professional		$4,338.77	$4,541.22	$8,704.02