Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,340.80 / $7,920.26 / $13,746.00	Facility		$2,340.80	$7,920.26	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.90 / $1,437.74 / $3,606.33	Professional		$1,191.90	$1,437.74	$3,606.33
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 $1,623.32 / $2,608.83 / $3,908.93	Professional		$1,623.32	$2,608.83	$3,908.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,486.01 / $2,911.93 / $3,493.48	Professional		$2,486.01	$2,911.93	$3,493.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,863.36 / $2,423.58 / $3,327.48	Facility		$1,863.36	$2,423.58	$3,327.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.07 / $2,332.44 / $3,498.66	Professional		$2,069.07	$2,332.44	$3,498.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,901.18 / $2,576.82 / $2,673.76	Facility		$1,901.18	$2,576.82	$2,673.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,849.21 / $2,486.88 / $3,412.66	Facility		$1,849.21	$2,486.88	$3,412.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,384.52 / $2,740.28 / $3,682.99	Professional		$2,384.52	$2,740.28	$3,682.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $16,215.85 / $21,922.68	Facility		$6,457.51	$16,215.85	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,446.59 / $3,102.49 / $4,169.78	Professional		$2,446.59	$3,102.49	$4,169.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,923.00 / $2,692.21 / $4,192.80	Professional		$1,923.00	$2,692.21	$4,192.80