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 $1,303.24 / $1,949.92 / $4,412.54	Professional		$1,303.24	$1,949.92	$4,412.54
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 $1,626.57 / $2,722.12 / $4,042.42	Professional		$1,626.57	$2,722.12	$4,042.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.73 / $3,021.04 / $3,612.54	Professional		$2,570.73	$3,021.04	$3,612.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.67 / $2,639.25 / $3,811.86	Facility		$1,949.67	$2,639.25	$3,811.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,237.88 / $2,459.54 / $3,661.98	Professional		$2,237.88	$2,459.54	$3,661.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,939.45 / $2,657.89 / $2,817.24	Facility		$1,939.45	$2,657.89	$2,817.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,936.51 / $2,667.24 / $3,590.29	Facility		$1,936.51	$2,667.24	$3,590.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,523.78 / $2,928.80 / $3,842.17	Professional		$2,523.78	$2,928.80	$3,842.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $15,476.85 / $20,493.73	Facility		$6,457.51	$15,476.85	$20,493.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,573.28 / $3,265.61 / $4,389.02	Professional		$2,573.28	$3,265.61	$4,389.02
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 $1,983.49 / $2,796.72 / $4,278.00	Professional		$1,983.49	$2,796.72	$4,278.00