Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14,071.33 / $18,294.63 / $81,225.20	Professional		$14,071.33	$18,294.63	$81,225.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $16,524.00	Facility		$16,524.00	$16,524.00	$16,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $12,062.52 / $16,524.00	Professional		$12,062.52	$12,062.52	$16,524.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19,706.37 / $54,590.73 / $71,199.99	Professional		$19,706.37	$54,590.73	$71,199.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,121.90 / $23,457.00 / $28,151.96	Facility		$17,121.90	$23,457.00	$28,151.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20,932.07 / $26,744.36 / $29,559.56	Professional		$20,932.07	$26,744.36	$29,559.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,492.15 / $28,151.96 / $32,139.72	Facility		$27,492.15	$28,151.96	$32,139.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22,364.27 / $22,364.27 / $22,364.27	Professional		$22,364.27	$22,364.27	$22,364.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $17,121.90 / $24,650.85 / $29,559.56	Facility		$17,121.90	$24,650.85	$29,559.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $24,650.85 / $30,967.16	Professional		$12,062.52	$24,650.85	$30,967.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,454.66 / $46,815.68 / $98,766.10	Facility		$23,454.66	$46,815.68	$98,766.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24,210.69 / $30,967.16 / $30,967.16	Professional		$24,210.69	$30,967.16	$30,967.16
United Facility/Professional Professional Modifier Low / Median / High Price $12,284.62 / $12,857.86 / $24,531.12	Professional		$12,284.62	$12,857.86	$24,531.12