Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,986.47 / $26,744.84 / $125,471.00	Professional		$16,986.47	$26,744.84	$125,471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $30,391.12 / $30,391.12	Facility		$30,391.12	$30,391.12	$30,391.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $22,185.52 / $30,391.12	Professional		$22,185.52	$22,185.52	$30,391.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30,781.86 / $83,049.08 / $108,316.80	Professional		$30,781.86	$83,049.08	$108,316.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26,744.84 / $36,640.43 / $43,974.09	Facility		$26,744.84	$36,640.43	$43,974.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32,696.42 / $41,335.64 / $43,974.09	Professional		$32,696.42	$41,335.64	$43,974.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39,576.68 / $42,943.45 / $48,371.50	Facility		$39,576.68	$42,943.45	$48,371.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $34,933.54 / $34,933.54 / $34,933.54	Professional		$34,933.54	$34,933.54	$34,933.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $26,744.84 / $37,767.74 / $46,172.79	Facility		$26,744.84	$37,767.74	$46,172.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $38,505.25 / $48,371.50	Professional		$22,185.52	$38,505.25	$48,371.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,636.76 / $73,127.28 / $154,275.13	Facility		$36,636.76	$73,127.28	$154,275.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37,817.72 / $48,371.50 / $48,371.50	Professional		$37,817.72	$48,371.50	$48,371.50
United Facility/Professional Professional Modifier Low / Median / High Price $18,688.59 / $19,560.65 / $37,319.18	Professional		$18,688.59	$19,560.65	$37,319.18