Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $41,686.94 / $67,608.30	Facility		$28,183.83	$41,686.94	$67,608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $36,307.81	Professional		$28,183.83	$28,183.83	$36,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $45,708.82 / $53,703.18	Facility		$26,915.35	$45,708.82	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $32,359.37	Professional		$28,183.83	$28,183.83	$32,359.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $60,255.96 / $72,443.60	Professional		$28,183.83	$60,255.96	$72,443.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $28,183.83 / $48,977.88	Facility		$3,311.31	$28,183.83	$48,977.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25,703.96 / $29,512.09 / $39,810.72	Professional		$25,703.96	$29,512.09	$39,810.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $35,481.34 / $58,884.37	Facility		$28,183.83	$35,481.34	$58,884.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $28,183.83 / $46,773.51	Facility		$3,090.30	$28,183.83	$46,773.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $28,183.83 / $36,307.81	Professional		$79.43	$28,183.83	$36,307.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $38,904.51 / $79,432.82	Facility		$23,442.29	$38,904.51	$79,432.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $31,622.78	Professional		$28,183.83	$28,183.83	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $67,608.30	Facility		$28,183.83	$28,183.83	$67,608.30
United Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $31,622.78	Professional		$28,183.83	$28,183.83	$31,622.78