Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $9,208.27 / $11,275.40	Facility		$5,116.62	$9,208.27	$11,275.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,176.95 / $6,317.87 / $16,456.30	Professional		$4,176.95	$6,317.87	$16,456.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.04 / $8,826.81 / $12,956.18	Professional		$4,677.04	$8,826.81	$12,956.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,357.42 / $9,660.95 / $11,809.07	Professional		$7,357.42	$9,660.95	$11,809.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,082.41 / $8,702.62 / $12,833.44	Facility		$5,082.41	$8,702.62	$12,833.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,065.03 / $8,319.00 / $13,822.32	Professional		$7,065.03	$8,319.00	$13,822.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,578.06 / $8,955.21 / $9,427.57	Facility		$6,578.06	$8,955.21	$9,427.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,290.09 / $9,430.84 / $12,833.44	Facility		$5,290.09	$9,430.84	$12,833.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,827.22 / $10,160.49 / $13,253.45	Professional		$7,827.22	$10,160.49	$13,253.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,250.79 / $24,250.79 / $24,250.79	Facility		$24,250.79	$24,250.79	$24,250.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,578.44 / $10,954.76 / $13,215.73	Professional		$8,578.44	$10,954.76	$13,215.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,926.49 / $9,619.41 / $14,557.90	Professional		$6,926.49	$9,619.41	$14,557.90