Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,471.29 / $16,218.10	Professional		$7,762.47	$10,471.29	$16,218.10
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $38,018.94 / $46,773.51	Professional		$13,489.63	$38,018.94	$46,773.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $16,218.10	Facility		$10,715.19	$13,182.57	$16,218.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $14,125.38 / $19,054.61	Professional		$12,882.50	$14,125.38	$19,054.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $17,378.01 / $21,379.62	Facility		$16,982.44	$17,378.01	$21,379.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $13,803.84 / $13,803.84	Professional		$12,589.25	$13,803.84	$13,803.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $15,135.61 / $22,387.21	Facility		$10,232.93	$15,135.61	$22,387.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $15,488.17 / $18,197.01	Professional		$87.10	$15,488.17	$18,197.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $24,547.09 / $67,608.30	Facility		$14,454.40	$24,547.09	$67,608.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $19,498.45 / $19,498.45	Professional		$17,782.79	$19,498.45	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,748.98 / $38,018.94	Facility		$7,943.28	$11,748.98	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $8,709.64 / $16,595.87	Professional		$7,943.28	$8,709.64	$16,595.87