Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $64,565.42 / $107,151.93	Facility		$43,651.58	$64,565.42	$107,151.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $63,095.73	Professional		$43,651.58	$43,651.58	$63,095.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $64,565.42 / $91,201.08	Facility		$40,738.03	$64,565.42	$91,201.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $48,977.88	Professional		$43,651.58	$43,651.58	$48,977.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $95,499.26 / $114,815.36	Professional		$44,668.36	$95,499.26	$114,815.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $45,708.82 / $79,432.82	Facility		$33,113.11	$45,708.82	$79,432.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $47,863.01 / $66,069.34	Professional		$43,651.58	$47,863.01	$66,069.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $72,443.60	Facility		$44,668.36	$44,668.36	$72,443.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $43,651.58 / $74,131.02	Facility		$22,387.21	$43,651.58	$74,131.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $40,738.03 / $56,234.13	Professional		$79.43	$40,738.03	$56,234.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $57,543.99 / $128,824.96	Facility		$30,199.52	$57,543.99	$128,824.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $47,863.01	Professional		$43,651.58	$43,651.58	$47,863.01
United Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $104,712.85	Facility		$43,651.58	$43,651.58	$104,712.85
United Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $50,118.72	Professional		$43,651.58	$43,651.58	$50,118.72