Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,189.70 / $21,189.70 / $36,975.00	Facility		$21,189.70	$21,189.70	$36,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,120.01 / $7,225.01 / $8,245.01	Professional		$6,120.01	$7,225.01	$8,245.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,812.50 / $13,812.50 / $24,696.75	Facility		$13,812.50	$13,812.50	$24,696.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $18,663.04 / $22,364.53	Professional		$8,500.00	$18,663.04	$22,364.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,375.01 / $8,925.00 / $18,700.00	Facility		$6,375.01	$8,925.00	$18,700.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $11,475.00	Professional		$8,500.00	$8,500.00	$11,475.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $12,750.00	Facility		$8,500.00	$8,500.00	$12,750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,200.00 / $13,812.50 / $24,696.75	Facility		$10,200.00	$13,812.50	$24,696.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,350.00 / $9,350.00 / $11,900.00	Professional		$9,350.00	$9,350.00	$11,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,875.00 / $29,750.00 / $33,370.15	Facility		$14,875.00	$29,750.00	$33,370.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,200.00 / $20,951.47 / $26,786.22	Professional		$10,200.00	$20,951.47	$26,786.22
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $8,500.00	Professional		$3,570.00	$3,570.00	$8,500.00