Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,512.40 / $11,512.40 / $11,512.40	Facility		$11,512.40	$11,512.40	$11,512.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,736.28 / $7,729.38 / $11,249.53	Professional		$4,736.28	$7,729.38	$11,249.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,500.00 / $10,777.03 / $10,777.03	Professional		$9,500.00	$10,777.03	$10,777.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27,440.24 / $30,989.46 / $36,909.06	Professional		$27,440.24	$30,989.46	$36,909.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,546.22 / $9,271.84 / $23,961.76	Facility		$1,546.22	$9,271.84	$23,961.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $9,150.89 / $11,887.14	Professional		$1,170.39	$9,150.89	$11,887.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,558.35 / $25,894.32 / $26,261.99	Facility		$21,558.35	$25,894.32	$26,261.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $21,558.35 / $25,894.32 / $26,261.99	Professional		$21,558.35	$25,894.32	$26,261.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,471.72 / $7,729.38 / $18,356.93	Facility		$1,471.72	$7,729.38	$18,356.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,285.66 / $1,471.72 / $10,777.03	Professional		$1,285.66	$1,471.72	$10,777.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17,940.03 / $19,832.14 / $29,752.21	Professional		$17,940.03	$19,832.14	$29,752.21
United Facility/Professional Professional Modifier Low / Median / High Price $5,920.36 / $6,507.39 / $12,472.50	Professional		$5,920.36	$6,507.39	$12,472.50