Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $11,220.18 / $17,782.79	Professional		$9,120.11	$11,220.18	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $40,738.03 / $50,118.72	Professional		$15,848.93	$40,738.03	$50,118.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $15,848.93 / $21,877.62	Facility		$12,589.25	$15,848.93	$21,877.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $16,595.87 / $22,387.21	Professional		$15,135.61	$16,595.87	$22,387.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,892.96 / $21,379.62	Facility		$20,417.38	$20,892.96	$21,379.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $20,892.96	Professional		$16,595.87	$16,595.87	$20,892.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $18,197.01 / $26,302.68	Facility		$10,715.19	$18,197.01	$26,302.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $18,197.01 / $21,877.62	Professional		$87.10	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $29,512.09 / $79,432.82	Facility		$17,378.01	$29,512.09	$79,432.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $23,442.29 / $23,442.29	Professional		$20,892.96	$23,442.29	$23,442.29
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $30,902.95 / $40,738.03	Facility		$12,302.69	$30,902.95	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $9,332.54 / $17,782.79	Professional		$8,511.38	$9,332.54	$17,782.79