Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,540.03 / $7,540.03 / $7,540.03	Facility		$7,540.03	$7,540.03	$7,540.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,906.96 / $6,951.13 / $11,150.46	Professional		$4,906.96	$6,951.13	$11,150.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $7,551.49	Facility		$7,551.49	$7,551.49	$7,551.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $6,418.77 / $7,551.49	Professional		$6,418.77	$6,418.77	$7,551.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17,971.93 / $20,296.48 / $24,173.53	Professional		$17,971.93	$20,296.48	$24,173.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,951.13 / $9,940.12 / $20,817.90	Facility		$6,951.13	$9,940.12	$20,817.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15,638.45 / $15,654.10 / $16,436.81	Professional		$15,638.45	$15,654.10	$16,436.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,119.60 / $16,959.43 / $17,200.24	Facility		$14,119.60	$16,959.43	$17,200.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,951.13 / $10,436.07 / $20,817.90	Facility		$6,951.13	$10,436.07	$20,817.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $18,028.41 / $2,400,000.00	Professional		$6,418.77	$18,028.41	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,753.14 / $19,348.75 / $33,549.05	Facility		$15,753.14	$19,348.75	$33,549.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17,903.66 / $19,979.23 / $25,971.59	Professional		$17,903.66	$19,979.23	$25,971.59
United Facility/Professional Professional Modifier Low / Median / High Price $5,517.86 / $5,558.95 / $12,938.31	Professional		$5,517.86	$5,558.95	$12,938.31