Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,424.10 / $33,515.90 / $56,848.10	Facility		$28,424.10	$33,515.90	$56,848.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,708.30 / $48,890.20	Professional		$28,424.06	$28,708.30	$48,890.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $45,968.83 / $54,141.06	Facility		$26,815.15	$45,968.83	$54,141.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $32,178.18	Professional		$28,424.06	$28,424.06	$32,178.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45,054.77 / $61,924.32 / $74,418.33	Professional		$45,054.77	$61,924.32	$74,418.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,125.00 / $28,424.06 / $49,742.11	Facility		$3,125.00	$28,424.06	$49,742.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $30,129.50 / $36,951.28	Professional		$28,424.06	$30,129.50	$36,951.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $35,530.08 / $79,999.20	Facility		$28,424.06	$35,530.08	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,565.60 / $28,424.06 / $49,173.62	Facility		$3,565.60	$28,424.06	$49,173.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $27,070.53 / $32,226.83 / $36,200.44	Professional		$27,070.53	$32,226.83	$36,200.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,554.48 / $37,425.15 / $83,418.85	Facility		$23,554.48	$37,425.15	$83,418.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $31,266.47	Professional		$28,424.06	$28,424.06	$31,266.47
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $32,687.67	Professional		$28,424.06	$28,424.06	$32,687.67