Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,269.35 / $7,920.26 / $23,856.49	Facility		$4,269.35	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.43 / $2,985.31 / $6,710.34	Professional		$1,987.43	$2,985.31	$6,710.34
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 $2,597.27 / $4,111.51 / $6,333.95	Professional		$2,597.27	$4,111.51	$6,333.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,917.93 / $4,619.21 / $5,505.69	Professional		$3,917.93	$4,619.21	$5,505.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,985.31 / $4,029.60 / $5,275.10	Facility		$2,985.31	$4,029.60	$5,275.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,462.76 / $3,777.55 / $5,666.33	Professional		$3,462.76	$3,777.55	$5,666.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,080.94 / $4,131.09 / $4,315.47	Facility		$3,080.94	$4,131.09	$4,315.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,985.31 / $4,064.72 / $5,497.85	Facility		$2,985.31	$4,064.72	$5,497.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,818.76 / $4,404.81 / $5,950.61	Professional		$3,818.76	$4,404.81	$5,950.61
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 $3,939.88 / $5,027.20 / $6,756.61	Professional		$3,939.88	$5,027.20	$6,756.61
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 $3,070.33 / $4,323.54 / $6,636.60	Professional		$3,070.33	$4,323.54	$6,636.60