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 $1,247.93 / $1,900.84 / $4,248.35	Professional		$1,247.93	$1,900.84	$4,248.35
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 $1,629.92 / $2,673.77 / $3,948.00	Professional		$1,629.92	$2,673.77	$3,948.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,495.56 / $2,923.11 / $3,506.90	Professional		$2,495.56	$2,923.11	$3,506.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,757.65 / $2,429.78 / $3,308.20	Facility		$1,757.65	$2,429.78	$3,308.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.04 / $2,345.00 / $3,507.41	Professional		$2,042.04	$2,345.00	$3,507.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,843.52 / $2,549.35 / $2,700.28	Facility		$1,843.52	$2,549.35	$2,700.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,757.65 / $2,448.71 / $3,436.69	Facility		$1,757.65	$2,448.71	$3,436.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,410.16 / $2,753.44 / $3,772.45	Professional		$2,410.16	$2,753.44	$3,772.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,463.19 / $3,117.32 / $4,189.71	Professional		$2,463.19	$3,117.32	$4,189.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,937.45 / $2,728.26 / $4,149.17	Professional		$1,937.45	$2,728.26	$4,149.17