Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,649.10 / $13,649.10 / $23,817.10	Facility		$13,649.10	$13,649.10	$23,817.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,942.14 / $4,653.92 / $5,310.94	Professional		$3,942.14	$4,653.92	$5,310.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,897.20 / $8,897.20 / $15,908.19	Facility		$8,897.20	$8,897.20	$15,908.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $12,021.83 / $14,406.15	Professional		$5,475.20	$12,021.83	$14,406.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,106.39 / $5,310.94 / $12,045.44	Facility		$4,106.39	$5,310.94	$12,045.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $7,391.52	Professional		$5,475.20	$5,475.20	$7,391.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,475.20 / $5,748.96 / $7,665.28	Facility		$5,475.20	$5,748.96	$7,665.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,927.68 / $6,570.24 / $13,958.94	Facility		$4,927.68	$6,570.24	$13,958.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,022.72 / $6,022.72 / $7,665.28	Professional		$6,022.72	$6,022.72	$7,665.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,950.40 / $17,728.70 / $21,493.99	Facility		$10,950.40	$17,728.70	$21,493.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,749.02 / $10,766.19 / $17,220.13	Professional		$8,749.02	$10,766.19	$17,220.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.58 / $2,299.58 / $5,748.96	Professional		$2,299.58	$2,299.58	$5,748.96