Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,102.37 / $7,920.26 / $20,400.00	Facility		$2,102.37	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,392.67 / $3,377.77	Professional		$907.15	$1,392.67	$3,377.77
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 $1,185.58 / $2,001.24 / $2,949.77	Professional		$1,185.58	$2,001.24	$2,949.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,989.12 / $2,329.90 / $2,795.21	Professional		$1,989.12	$2,329.90	$2,795.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,411.10 / $1,855.44 / $2,390.19	Facility		$1,411.10	$1,855.44	$2,390.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.60 / $1,831.22 / $2,825.31	Professional		$1,593.60	$1,831.22	$2,825.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,372.59 / $1,898.11 / $2,158.07	Facility		$1,372.59	$1,898.11	$2,158.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.96 / $2,035.91 / $5,217.00	Facility		$1,412.96	$2,035.91	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,742.19 / $2,141.23 / $2,951.36	Professional		$1,742.19	$2,141.23	$2,951.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,877.89 / $2,513.98 / $3,378.83	Professional		$1,877.89	$2,513.98	$3,378.83
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 $1,420.32 / $2,041.71 / $3,190.98	Professional		$1,420.32	$2,041.71	$3,190.98