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 $1,542.21 / $2,408.90 / $5,433.23	Professional		$1,542.21	$2,408.90	$5,433.23
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 $2,075.83 / $3,310.55 / $5,099.81	Professional		$2,075.83	$3,310.55	$5,099.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,188.48 / $3,745.73 / $4,480.63	Professional		$3,188.48	$3,745.73	$4,480.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,328.75 / $3,119.22 / $4,233.00	Facility		$2,328.75	$3,119.22	$4,233.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,669.85 / $3,029.92 / $4,570.26	Professional		$2,669.85	$3,029.92	$4,570.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,340.13 / $3,278.93 / $3,474.62	Facility		$2,340.13	$3,278.93	$3,474.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,328.75 / $3,125.52 / $4,443.24	Facility		$2,328.75	$3,125.52	$4,443.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,021.70 / $3,537.80 / $4,785.10	Professional		$3,021.70	$3,537.80	$4,785.10
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 $3,184.63 / $4,047.67 / $5,440.11	Professional		$3,184.63	$4,047.67	$5,440.11
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 $2,323.46 / $3,537.79 / $5,364.41	Professional		$2,323.46	$3,537.79	$5,364.41