Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.36 / $7,920.26 / $23,856.49	Facility		$3,890.36	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.08 / $2,211.21 / $6,266.94	Professional		$1,314.08	$2,211.21	$6,266.94
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 $2,139.25 / $3,690.12 / $5,997.27	Professional		$2,139.25	$3,690.12	$5,997.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,667.77 / $4,306.41 / $5,154.14	Professional		$3,667.77	$4,306.41	$5,154.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,586.29 / $3,359.81 / $4,525.16	Facility		$2,586.29	$3,359.81	$4,525.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.29 / $3,612.82 / $5,802.80	Professional		$3,022.29	$3,612.82	$5,802.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,662.08 / $3,715.82 / $4,152.66	Facility		$2,662.08	$3,715.82	$4,152.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,586.29 / $3,586.08 / $5,264.44	Facility		$2,586.29	$3,586.08	$5,264.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,478.20 / $4,217.81 / $5,691.62	Professional		$3,478.20	$4,217.81	$5,691.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,773.21 / $4,837.54 / $6,501.70	Professional		$3,773.21	$4,837.54	$6,501.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,715.00 / $3,977.32 / $6,355.86	Professional		$2,715.00	$3,977.32	$6,355.86