Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,789.50 / $55,975.20 / $55,975.20	Facility		$23,789.50	$55,975.20	$55,975.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,229.71 / $24,069.34	Professional		$22,390.08	$23,229.71	$24,069.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,228.42 / $24,228.42 / $47,578.92	Facility		$24,228.42	$24,228.42	$47,578.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,125.82 / $4,969.74 / $6,299.75	Professional		$4,125.82	$4,969.74	$6,299.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,762.43 / $23,789.46 / $33,218.49	Facility		$3,762.43	$23,789.46	$33,218.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,881.20 / $2,985.03 / $31,496.95	Professional		$2,881.20	$2,985.03	$31,496.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32,784.53 / $79,999.20 / $79,999.20	Facility		$32,784.53	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,948.11 / $26,766.00 / $33,218.49	Facility		$3,948.11	$26,766.00	$33,218.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $27,468.75 / $29,153.75	Professional		$23,789.46	$27,468.75	$29,153.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,856.35 / $36,321.37 / $82,140.30	Facility		$21,856.35	$36,321.37	$82,140.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $23,323.00 / $26,821.45	Professional		$23,323.00	$23,323.00	$26,821.45