Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $16,218.10 / $24,547.09	Professional		$12,302.69	$16,218.10	$24,547.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $56,234.13 / $69,183.10	Professional		$21,379.62	$56,234.13	$69,183.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $21,379.62 / $29,512.09	Facility		$16,982.44	$21,379.62	$29,512.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $22,908.68 / $30,902.95	Professional		$20,892.96	$22,908.68	$30,902.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $28,183.83 / $29,512.09	Facility		$27,542.29	$28,183.83	$29,512.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Professional		$22,387.21	$22,387.21	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $23,442.29 / $36,307.81	Facility		$12,882.50	$23,442.29	$36,307.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $24,547.09 / $29,512.09	Professional		$79.43	$24,547.09	$29,512.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $39,810.72 / $107,151.93	Facility		$23,442.29	$39,810.72	$107,151.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $31,622.78 / $31,622.78	Professional		$28,840.32	$31,622.78	$31,622.78
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $17,378.01 / $56,234.13	Facility		$371.54	$17,378.01	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,882.50 / $24,547.09	Professional		$12,022.64	$12,882.50	$24,547.09