Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21,069.43 / $28,713.69 / $136,216.00	Professional		$21,069.43	$28,713.69	$136,216.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $31,290.51 / $31,290.51	Facility		$31,290.51	$31,290.51	$31,290.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $22,842.07 / $31,290.51	Professional		$22,842.07	$22,842.07	$31,290.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33,047.89 / $91,526.92 / $119,374.05	Professional		$33,047.89	$91,526.92	$119,374.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28,713.69 / $39,337.76 / $47,211.27	Facility		$28,713.69	$39,337.76	$47,211.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35,103.40 / $44,378.59 / $49,571.83	Professional		$35,103.40	$44,378.59	$49,571.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42,490.14 / $47,211.27 / $53,791.23	Facility		$42,490.14	$47,211.27	$53,791.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47,211.27 / $47,211.27 / $47,211.27	Professional		$47,211.27	$47,211.27	$47,211.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $28,713.69 / $40,548.07 / $49,571.83	Facility		$28,713.69	$40,548.07	$49,571.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $41,339.83 / $51,932.40	Professional		$22,842.07	$41,339.83	$51,932.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39,333.82 / $78,510.62 / $165,632.20	Facility		$39,333.82	$78,510.62	$165,632.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40,601.69 / $51,932.40 / $51,932.40	Professional		$40,601.69	$51,932.40	$51,932.40
United Facility/Professional Professional Modifier Low / Median / High Price $20,596.36 / $21,557.44 / $41,128.78	Professional		$20,596.36	$21,557.44	$41,128.78