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 $2,012.23 / $3,021.34 / $6,815.80	Professional		$2,012.23	$3,021.34	$6,815.80
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 $2,582.50 / $4,177.85 / $6,362.46	Professional		$2,582.50	$4,177.85	$6,362.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,950.47 / $4,657.67 / $5,551.41	Professional		$3,950.47	$4,657.67	$5,551.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,021.34 / $4,128.96 / $5,334.60	Facility		$3,021.34	$4,128.96	$5,334.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,454.23 / $3,856.40 / $5,652.37	Professional		$3,454.23	$3,856.40	$5,652.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,922.02 / $4,040.77 / $4,334.89	Facility		$2,922.02	$4,040.77	$4,334.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,021.34 / $4,229.88 / $5,541.61	Facility		$3,021.34	$4,229.88	$5,541.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,833.28 / $4,439.88 / $5,953.43	Professional		$3,833.28	$4,439.88	$5,953.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,035.96 / $16,468.63 / $21,141.18	Facility		$8,035.96	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,971.86 / $5,049.83 / $6,787.03	Professional		$3,971.86	$5,049.83	$6,787.03
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 $2,923.39 / $4,291.80 / $6,690.50	Professional		$2,923.39	$4,291.80	$6,690.50