Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,916.10 / $11,916.10 / $20,793.00	Facility		$11,916.10	$11,916.10	$20,793.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,441.60 / $4,063.00 / $4,636.60	Professional		$3,441.60	$4,063.00	$4,636.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,767.50 / $7,767.50 / $13,888.29	Facility		$7,767.50	$7,767.50	$13,888.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $3,824.00 / $3,824.00	Professional		$3,824.00	$3,824.00	$3,824.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $10,494.85 / $12,576.34	Professional		$4,780.00	$10,494.85	$12,576.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $4,636.60 / $10,516.00	Facility		$3,585.00	$4,636.60	$10,516.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,258.00 / $6,692.00	Professional		$4,780.00	$5,258.00	$6,692.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $5,353.60 / $8,365.00	Facility		$4,780.00	$5,353.60	$8,365.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $6,070.60 / $11,602.57	Facility		$4,302.00	$6,070.60	$11,602.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,258.00 / $5,258.00 / $6,692.00	Professional		$5,258.00	$5,258.00	$6,692.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,560.00 / $14,545.54 / $18,765.80	Facility		$9,560.00	$14,545.54	$18,765.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,638.40 / $9,399.75 / $15,034.17	Professional		$7,638.40	$9,399.75	$15,034.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $5,736.00 / $5,736.00	Facility		$5,736.00	$5,736.00	$5,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $5,019.00	Professional		$2,007.60	$2,007.60	$5,019.00