Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,720.00 / $11,275.20 / $21,772.80	Facility		$9,720.00	$11,275.20	$21,772.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $7,542.72 / $11,275.20	Professional		$2,480.40	$7,542.72	$11,275.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,636.00 / $12,636.00 / $22,593.17	Facility		$12,636.00	$12,636.00	$22,593.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,354.56 / $10,463.20 / $15,256.87	Professional		$4,354.56	$10,463.20	$15,256.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $17,073.58 / $20,459.84	Professional		$7,776.00	$17,073.58	$20,459.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,832.00 / $8,164.80 / $17,107.20	Facility		$5,832.00	$8,164.80	$17,107.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $10,497.60	Professional		$7,776.00	$7,776.00	$10,497.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $14,719.97	Facility		$7,776.00	$7,776.00	$14,719.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,164.80 / $9,836.64 / $19,661.87	Facility		$8,164.80	$9,836.64	$19,661.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,553.60 / $8,942.40 / $11,197.44	Professional		$8,553.60	$8,942.40	$11,197.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,163.20 / $23,662.37 / $30,526.24	Facility		$15,163.20	$23,662.37	$30,526.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13,733.78 / $15,191.68 / $24,456.91	Professional		$13,733.78	$15,191.68	$24,456.91
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $3,265.92 / $7,776.00	Professional		$3,265.92	$3,265.92	$7,776.00