Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $33,884.42 / $33,884.42	Facility		$7,413.10	$33,884.42	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $7,413.10	Professional		$2,691.53	$5,754.40	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $21,877.62	Facility		$12,302.69	$12,302.69	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $16,218.10 / $19,952.62	Professional		$7,585.78	$16,218.10	$19,952.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $10,715.19	Professional		$7,585.78	$9,120.11	$10,715.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $11,748.98	Facility		$6,760.83	$8,317.64	$11,748.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,471.29 / $19,952.62	Facility		$5,623.41	$10,471.29	$19,952.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $8,317.64 / $10,715.19	Professional		$79.43	$8,317.64	$10,715.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $22,387.21 / $29,512.09	Facility		$11,481.54	$22,387.21	$29,512.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $9,120.11	Professional		$6,025.60	$6,456.54	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $12,022.64	Facility		$9,120.11	$9,120.11	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $9,120.11	Professional		$3,162.28	$3,162.28	$9,120.11