Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $7,295.24 / $14,087.40	Facility		$0.03	$7,295.24	$14,087.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $6,691.50 / $32,350.60	Professional		$2,000.00	$6,691.50	$32,350.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,175.70 / $8,175.70 / $14,618.15	Facility		$8,175.70	$8,175.70	$14,618.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,943.25 / $6,769.72 / $9,871.23	Professional		$2,943.25	$6,769.72	$9,871.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,031.20 / $11,046.70 / $13,237.63	Professional		$5,031.20	$11,046.70	$13,237.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,528.08 / $6,792.12 / $12,212.62	Facility		$4,528.08	$6,792.12	$12,212.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,031.20 / $5,031.20 / $6,792.12	Professional		$5,031.20	$5,031.20	$6,792.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,031.20 / $5,031.20 / $9,524.06	Facility		$5,031.20	$5,031.20	$9,524.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,785.88 / $6,389.62 / $13,244.63	Facility		$5,785.88	$6,389.62	$13,244.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,534.32 / $5,785.88 / $7,244.93	Professional		$5,534.32	$5,785.88	$7,244.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,062.40 / $15,309.94 / $19,751.99	Facility		$10,062.40	$15,309.94	$19,751.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,885.93 / $9,893.11 / $15,823.93	Professional		$8,885.93	$9,893.11	$15,823.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.10 / $2,113.10 / $6,037.44	Professional		$2,113.10	$2,113.10	$6,037.44