Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Facility		$38,018.94	$38,018.94	$38,018.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $7,244.36	Professional		$4,570.88	$6,309.57	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $24,547.09	Facility		$13,803.84	$13,803.84	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $18,197.01 / $22,387.21	Professional		$8,511.38	$18,197.01	$22,387.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,232.93 / $11,748.98	Professional		$8,511.38	$10,232.93	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $11,748.98	Facility		$8,511.38	$8,511.38	$11,748.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $21,379.62	Facility		$6,309.57	$11,748.98	$21,379.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $9,332.54 / $11,748.98	Professional		$79.43	$9,332.54	$11,748.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $24,547.09 / $33,113.11	Facility		$12,589.25	$24,547.09	$33,113.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,244.36 / $10,232.93	Professional		$6,760.83	$7,244.36	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $13,489.63	Facility		$10,232.93	$10,232.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $5,128.61	Professional		$1,548.82	$1,548.82	$5,128.61