Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $25,703.96 / $34,673.69	Professional		$19,054.61	$25,703.96	$34,673.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Professional		$30,902.95	$30,902.95	$30,902.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $81,283.05 / $102,329.30	Professional		$29,512.09	$81,283.05	$102,329.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $33,884.42 / $48,977.88	Facility		$21,379.62	$33,884.42	$48,977.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30,199.52 / $38,018.94 / $46,773.51	Professional		$30,199.52	$38,018.94	$46,773.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $38,018.94 / $39,810.72	Facility		$37,153.52	$38,018.94	$39,810.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $33,884.42 / $42,657.95	Facility		$21,877.62	$33,884.42	$42,657.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $36,307.81 / $40,738.03	Professional		$95.50	$36,307.81	$40,738.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $69,183.10 / $147,910.84	Facility		$36,307.81	$69,183.10	$147,910.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $42,657.95 / $42,657.95	Professional		$38,904.51	$42,657.95	$42,657.95
United Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $53,703.18 / $70,794.58	Facility		$19,952.62	$53,703.18	$70,794.58
United Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $36,307.81	Professional		$19,952.62	$19,952.62	$36,307.81