Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.34 / $2,860.92 / $7,920.26	Facility		$2,318.34	$2,860.92	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.53 / $1,602.97 / $3,674.32	Professional		$1,032.53	$1,602.97	$3,674.32
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 $1,395.77 / $2,260.40 / $3,460.51	Professional		$1,395.77	$2,260.40	$3,460.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,155.30 / $2,530.86 / $3,028.75	Professional		$2,155.30	$2,530.86	$3,028.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.22 / $2,214.71 / $2,741.63	Facility		$1,500.22	$2,214.71	$2,741.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,691.28 / $2,053.71 / $3,097.79	Professional		$1,691.28	$2,053.71	$3,097.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,439.93 / $2,055.78 / $2,357.73	Facility		$1,439.93	$2,055.78	$2,357.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,500.22 / $2,250.78 / $2,999.06	Facility		$1,500.22	$2,250.78	$2,999.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.52 / $2,362.58 / $3,231.50	Professional		$1,961.52	$2,362.58	$3,231.50
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 $2,149.53 / $2,746.58 / $3,691.43	Professional		$2,149.53	$2,746.58	$3,691.43
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 $1,554.35 / $2,255.57 / $3,620.83	Professional		$1,554.35	$2,255.57	$3,620.83