Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,077.50 / $21,077.50 / $36,779.30	Facility		$21,077.50	$21,077.50	$36,779.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,087.60 / $7,186.75 / $7,186.75	Professional		$6,087.60	$7,186.75	$7,186.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,739.38 / $13,739.38 / $24,566.00	Facility		$13,739.38	$13,739.38	$24,566.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,455.00 / $18,564.33 / $22,246.24	Professional		$8,455.00	$18,564.33	$22,246.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,341.25 / $8,201.35 / $18,601.00	Facility		$6,341.25	$8,201.35	$18,601.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,455.00 / $8,455.00 / $11,414.25	Professional		$8,455.00	$8,455.00	$11,414.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $8,877.75 / $11,837.00	Facility		$8,455.00	$8,877.75	$11,837.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,201.35 / $10,737.85 / $21,158.64	Facility		$8,201.35	$10,737.85	$21,158.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,300.50 / $9,300.50 / $11,837.00	Professional		$9,300.50	$9,300.50	$11,837.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,487.25 / $25,728.57 / $33,191.79	Facility		$16,487.25	$25,728.57	$33,191.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13,510.43 / $15,922.19 / $26,591.71	Professional		$13,510.43	$15,922.19	$26,591.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $5,073.00	Professional		$1,543.50	$1,543.50	$5,073.00