Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,161.41 / $9,161.41 / $15,986.30	Facility		$9,161.41	$9,161.41	$15,986.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.00 / $3,123.75 / $3,564.75	Professional		$2,646.00	$3,123.75	$3,564.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,971.88 / $5,971.88 / $10,677.71	Facility		$5,971.88	$5,971.88	$10,677.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $2,940.00 / $2,940.00	Professional		$2,940.00	$2,940.00	$2,940.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $8,068.77 / $9,669.06	Professional		$3,675.00	$8,068.77	$9,669.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,756.25 / $3,564.75 / $8,085.00	Facility		$2,756.25	$3,564.75	$8,085.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $4,961.25	Professional		$3,675.00	$3,675.00	$4,961.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $4,042.50 / $6,431.25	Facility		$3,675.00	$4,042.50	$6,431.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,564.75 / $4,869.38 / $8,950.71	Facility		$3,564.75	$4,869.38	$8,950.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,042.50 / $4,042.50 / $5,145.00	Professional		$4,042.50	$4,042.50	$5,145.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,350.00 / $11,183.03 / $14,427.68	Facility		$7,350.00	$11,183.03	$14,427.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,872.57 / $7,226.23 / $11,558.60	Professional		$5,872.57	$7,226.23	$11,558.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $3,675.00	Professional		$1,543.50	$1,543.50	$3,675.00