Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,024.40 / $13,024.40 / $22,727.00	Facility		$13,024.40	$13,024.40	$22,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,761.71 / $4,440.91 / $5,067.85	Professional		$3,761.71	$4,440.91	$5,067.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,489.98 / $8,489.98 / $15,180.08	Facility		$8,489.98	$8,489.98	$15,180.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $11,471.40 / $13,746.56	Professional		$5,224.60	$11,471.40	$13,746.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,918.45 / $5,067.85 / $11,494.12	Facility		$3,918.45	$5,067.85	$11,494.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $7,053.21	Professional		$5,224.60	$5,224.60	$7,053.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $5,485.83 / $7,314.44	Facility		$5,224.60	$5,485.83	$7,314.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,702.14 / $6,269.52 / $13,319.84	Facility		$4,702.14	$6,269.52	$13,319.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,747.06 / $5,747.06 / $7,314.44	Professional		$5,747.06	$5,747.06	$7,314.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,449.20 / $16,917.25 / $20,510.21	Facility		$10,449.20	$16,917.25	$20,510.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,348.85 / $10,273.51 / $16,432.50	Professional		$8,348.85	$10,273.51	$16,432.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,836.90 / $7,836.90 / $8,359.36	Facility		$7,836.90	$7,836.90	$8,359.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,194.33 / $6,269.52	Professional		$2,194.33	$2,194.33	$6,269.52