Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,982.70 / $20,400.00	Facility		$2,747.00	$7,982.70	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.68 / $4,172.47 / $10,252.29	Professional		$2,754.68	$4,172.47	$10,252.29
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 $3,537.83 / $6,207.14 / $9,653.83	Professional		$3,537.83	$6,207.14	$9,653.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,987.62 / $7,027.34 / $8,414.12	Professional		$5,987.62	$7,027.34	$8,414.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,602.96 / $5,438.28 / $7,326.12	Facility		$3,602.96	$5,438.28	$7,326.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,473.00 / $5,574.59 / $8,600.79	Professional		$4,473.00	$5,574.59	$8,600.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,922.51 / $5,424.32 / $6,577.39	Facility		$3,922.51	$5,424.32	$6,577.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,602.96 / $5,513.88 / $8,405.95	Facility		$3,602.96	$5,513.88	$8,405.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,076.00 / $6,632.72 / $9,014.95	Professional		$5,076.00	$6,632.72	$9,014.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,024.83 / $7,662.17 / $10,298.03	Professional		$6,024.83	$7,662.17	$10,298.03
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 $4,349.77 / $6,430.08 / $10,197.35	Professional		$4,349.77	$6,430.08	$10,197.35