Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.59 / $7,920.26 / $20,400.00	Facility		$2,429.59	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.09 / $1,516.18 / $3,471.76	Professional		$1,019.09	$1,516.18	$3,471.76
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 $1,268.51 / $2,131.00 / $3,154.51	Professional		$1,268.51	$2,131.00	$3,154.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,017.46 / $2,375.15 / $2,835.04	Professional		$2,017.46	$2,375.15	$2,835.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.18 / $2,077.17 / $2,947.80	Facility		$1,516.18	$2,077.17	$2,947.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.20 / $1,962.24 / $2,880.33	Professional		$1,760.20	$1,962.24	$2,880.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,674.33 / $2,081.69 / $2,274.81	Facility		$1,674.33	$2,081.69	$2,274.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,516.18 / $2,105.40 / $2,947.80	Facility		$1,516.18	$2,105.40	$2,947.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.51 / $2,254.31 / $3,024.88	Professional		$1,930.51	$2,254.31	$3,024.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,017.30 / $2,570.96 / $3,455.41	Professional		$2,017.30	$2,570.96	$3,455.41
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 $1,470.16 / $2,190.42 / $3,350.58	Professional		$1,470.16	$2,190.42	$3,350.58