Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,564.60 / $7,920.26 / $23,856.49	Facility		$3,564.60	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $2,422.21 / $4,775.93	Professional		$1,656.00	$2,422.21	$4,775.93
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 $2,216.67 / $3,479.30 / $5,436.12	Professional		$2,216.67	$3,479.30	$5,436.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,288.53 / $3,872.65 / $4,621.22	Professional		$3,288.53	$3,872.65	$4,621.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,426.69 / $3,272.67 / $4,434.45	Facility		$2,426.69	$3,272.67	$4,434.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.20 / $3,213.95 / $4,820.93	Professional		$2,806.20	$3,213.95	$4,820.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,603.69 / $3,485.13 / $3,703.76	Facility		$2,603.69	$3,485.13	$3,703.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,426.69 / $3,402.00 / $4,694.67	Facility		$2,426.69	$3,402.00	$4,694.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,225.60 / $3,720.50 / $5,069.67	Professional		$3,225.60	$3,720.50	$5,069.67
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 $3,364.83 / $4,314.60 / $5,798.87	Professional		$3,364.83	$4,314.60	$5,798.87
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 $2,551.19 / $3,675.39 / $5,731.69	Professional		$2,551.19	$3,675.39	$5,731.69