Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,022.64 / $19,054.61	Professional		$9,549.93	$12,022.64	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $43,651.58 / $53,703.18	Professional		$16,595.87	$43,651.58	$53,703.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $16,595.87 / $22,387.21	Facility		$13,182.57	$16,595.87	$22,387.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $17,378.01 / $23,442.29	Professional		$16,218.10	$17,378.01	$23,442.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,877.62 / $22,908.68	Facility		$21,379.62	$21,877.62	$22,908.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $18,197.01 / $27,542.29	Facility		$11,481.54	$18,197.01	$27,542.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $19,054.61 / $22,908.68	Professional		$87.10	$19,054.61	$22,908.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $30,902.95 / $83,176.38	Facility		$18,197.01	$30,902.95	$83,176.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $24,547.09 / $24,547.09	Professional		$22,387.21	$24,547.09	$24,547.09
United Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $32,359.37 / $43,651.58	Facility		$13,182.57	$32,359.37	$43,651.58
United Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,000.00 / $19,054.61	Professional		$9,120.11	$10,000.00	$19,054.61