Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,628.84 / $20,303.20 / $20,303.20	Facility		$8,628.84	$20,303.20	$20,303.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,425.81 / $8,730.36	Professional		$8,121.26	$8,425.81	$8,730.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,304.94 / $8,304.94 / $17,257.68	Facility		$8,304.94	$8,304.94	$17,257.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $8,628.84	Professional		$8,628.84	$8,628.84	$8,628.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.95 / $654.01 / $829.04	Professional		$542.95	$654.01	$829.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $499.54 / $8,425.81 / $12,048.91	Facility		$499.54	$8,425.81	$12,048.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.34 / $356.02 / $17,150.38	Professional		$333.34	$356.02	$17,150.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.69 / $8,730.36 / $12,689.49	Facility		$594.69	$8,730.36	$12,689.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,620.12 / $9,795.60 / $10,574.58	Professional		$8,620.12	$9,795.60	$10,574.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.20 / $961.98 / $1,240.96	Facility		$549.20	$961.98	$1,240.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,628.85 / $8,628.85 / $8,628.85	Professional		$8,628.85	$8,628.85	$8,628.85
United Facility/Professional Professional Modifier Low / Median / High Price $8,459.66 / $8,459.66 / $9,813.20	Professional		$8,459.66	$8,459.66	$9,813.20