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 $1,486.68 / $2,348.02 / $5,531.61	Professional		$1,486.68	$2,348.02	$5,531.61
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 $1,874.04 / $3,319.57 / $5,214.85	Professional		$1,874.04	$3,319.57	$5,214.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,239.18 / $3,810.25 / $4,551.87	Professional		$3,239.18	$3,810.25	$4,551.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,501.25 / $2,948.81 / $4,299.30	Facility		$1,501.25	$2,948.81	$4,299.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $3,095.34 / $4,668.95	Professional		$1,608.00	$3,095.34	$4,668.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,048.59 / $3,377.84 / $3,553.01	Facility		$2,048.59	$3,377.84	$3,553.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.70 / $3,173.16 / $4,523.89	Facility		$1,420.70	$3,173.16	$4,523.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,954.15 / $3,584.96 / $4,887.26	Professional		$2,954.15	$3,584.96	$4,887.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,242.44 / $4,138.99 / $5,562.85	Professional		$3,242.44	$4,138.99	$5,562.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,410.63 / $3,539.02 / $5,556.68	Professional		$2,410.63	$3,539.02	$5,556.68