Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,727.13 / $3,727.13 / $38,400.00	Facility		$3,727.13	$3,727.13	$38,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,727.13 / $5,795.56 / $15,936.00	Professional		$3,727.13	$5,795.56	$15,936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33,920.00 / $33,920.00 / $33,920.00	Facility		$33,920.00	$33,920.00	$33,920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,960.00 / $16,960.00 / $18,400.00	Professional		$16,960.00	$16,960.00	$18,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,678.18 / $10,009.86 / $11,017.12	Professional		$8,678.18	$10,009.86	$11,017.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,686.18 / $10,075.29 / $23,040.00	Facility		$4,686.18	$10,075.29	$23,040.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,940.91 / $17,977.59 / $22,048.00	Professional		$5,940.91	$17,977.59	$22,048.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,979.50 / $8,383.27 / $8,502.29	Facility		$6,979.50	$8,383.27	$8,502.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,686.18 / $16,320.00 / $33,920.00	Facility		$4,686.18	$16,320.00	$33,920.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15,748.80 / $16,960.00 / $2,250,000.00	Professional		$15,748.80	$16,960.00	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,631.96 / $12,694.03 / $17,558.65	Facility		$6,631.96	$12,694.03	$17,558.65
United Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $19,200.00 / $22,080.00	Professional		$16,320.00	$19,200.00	$22,080.00