Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,991.25 / $10,429.90 / $20,140.40	Facility		$8,991.25	$10,429.90	$20,140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,178.96 / $6,114.05 / $10,429.90	Professional		$5,178.96	$6,114.05	$10,429.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,688.63 / $11,688.63 / $20,899.25	Facility		$11,688.63	$11,688.63	$20,899.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,373.49 / $7,821.69 / $12,979.62	Professional		$3,373.49	$7,821.69	$12,979.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $15,793.07 / $18,925.34	Professional		$7,193.00	$15,793.07	$18,925.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,394.75 / $7,552.65 / $15,824.60	Facility		$5,394.75	$7,552.65	$15,824.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $9,710.54	Professional		$7,193.00	$7,193.00	$9,710.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $7,912.30 / $10,789.50	Facility		$7,193.00	$7,912.30	$10,789.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,552.65 / $9,099.15 / $18,187.79	Facility		$7,552.65	$9,099.15	$18,187.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,821.69 / $8,271.83 / $10,357.92	Professional		$7,821.69	$8,271.83	$10,357.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,026.35 / $21,888.30 / $29,717.16	Facility		$14,026.35	$21,888.30	$29,717.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12,703.76 / $14,052.56 / $22,622.67	Professional		$12,703.76	$14,052.56	$22,622.67
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $7,193.00	Professional		$3,021.06	$3,021.06	$7,193.00