Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,029.60 / $22,554.90 / $55,925.22	Facility		$11,029.60	$22,554.90	$55,925.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,955.01 / $13,713.33 / $68,309.70	Professional		$9,955.01	$13,713.33	$68,309.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $13,034.23	Facility		$13,034.23	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $13,034.23	Professional		$11,079.10	$11,079.10	$13,034.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,783.30 / $44,183.24 / $57,626.01	Professional		$15,783.30	$44,183.24	$57,626.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,713.33 / $18,787.25 / $22,547.57	Facility		$13,713.33	$18,787.25	$22,547.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16,764.98 / $20,292.81 / $22,547.57	Professional		$16,764.98	$20,292.81	$22,547.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,292.81 / $22,547.57 / $25,632.56	Facility		$20,292.81	$22,547.57	$25,632.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17,912.06 / $17,912.06 / $17,912.06	Professional		$17,912.06	$17,912.06	$17,912.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $17,553.06 / $22,547.57	Facility		$13,034.23	$17,553.06	$22,547.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $19,743.43 / $24,802.33	Professional		$11,079.10	$19,743.43	$24,802.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19,616.39 / $24,802.33 / $24,802.33	Professional		$19,616.39	$24,802.33	$24,802.33
United Facility/Professional Professional Modifier Low / Median / High Price $9,942.62 / $10,406.57 / $19,854.37	Professional		$9,942.62	$10,406.57	$19,854.37