Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,595.87 / $16,595.87	Facility		$16,218.10	$16,595.87	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,218.10 / $16,595.87	Professional		$15,488.17	$16,218.10	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $33,113.11 / $33,113.11	Facility		$33,113.11	$33,113.11	$33,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Professional		$16,595.87	$16,595.87	$16,595.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,912.51 / $9,549.93	Professional		$7,585.78	$8,912.51	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $21,379.62	Facility		$4,073.80	$7,943.28	$21,379.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $13,803.84 / $16,595.87	Professional		$4,073.80	$13,803.84	$16,595.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $7,762.47	Facility		$3,090.30	$3,801.89	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $19,498.45 / $54,954.09	Facility		$7,585.78	$19,498.45	$54,954.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $16,595.87 / $23,442.29	Professional		$79.43	$16,595.87	$23,442.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $27,542.29 / $58,884.37	Facility		$17,378.01	$27,542.29	$58,884.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Professional		$18,620.87	$18,620.87	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $7,585.78	Facility		$3,162.28	$3,162.28	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $19,498.45	Professional		$16,218.10	$16,218.10	$19,498.45