Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.77 / $3,678.22 / $7,271.28	Professional		$2,328.77	$3,678.22	$7,271.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,200.08 / $5,153.14 / $8,098.13	Professional		$3,200.08	$5,153.14	$8,098.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,020.47 / $5,908.72 / $7,055.03	Professional		$5,020.47	$5,908.72	$7,055.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,562.51 / $4,662.55 / $6,418.44	Facility		$3,562.51	$4,662.55	$6,418.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,919.64 / $4,693.24 / $7,241.00	Professional		$3,919.64	$4,693.24	$7,241.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,243.73 / $4,529.25 / $5,517.45	Facility		$3,243.73	$4,529.25	$5,517.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,562.51 / $4,793.04 / $7,026.98	Facility		$3,562.51	$4,793.04	$7,026.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,331.58 / $5,524.32 / $7,566.64	Professional		$4,331.58	$5,524.32	$7,566.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,036.47 / $6,427.42 / $8,638.52	Professional		$5,036.47	$6,427.42	$8,638.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,591.01 / $5,254.91 / $8,483.79	Professional		$3,591.01	$5,254.91	$8,483.79