Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,848.63 / $11,697.30 / $11,697.30	Facility		$5,848.63	$11,697.30	$11,697.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,854.35 / $8,339.79	Professional		$4,678.89	$4,854.35	$8,339.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,942.68 / $9,942.68 / $9,942.68	Facility		$9,942.68	$9,942.68	$9,942.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,553.76 / $10,303.39 / $13,060.81	Professional		$8,553.76	$10,303.39	$13,060.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,608.00 / $5,166.29 / $10,436.87	Facility		$4,608.00	$5,166.29	$10,436.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,685.57 / $1,782.39 / $5,166.29	Professional		$1,685.57	$1,782.39	$5,166.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,755.00 / $9,314.74 / $9,447.00	Facility		$7,755.00	$9,314.74	$9,447.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,608.00 / $5,166.29 / $9,747.71	Facility		$4,608.00	$5,166.29	$9,747.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $6,092.33 / $6,579.71	Professional		$4,971.34	$6,092.33	$6,579.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,449.53 / $7,749.44 / $16,471.68	Facility		$3,449.53	$7,749.44	$16,471.68
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $4,873.85 / $5,604.94	Professional		$4,873.85	$4,873.85	$5,604.94