Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.62 / $7,920.26 / $20,400.00	Facility		$1,988.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.16 / $1,745.41 / $4,377.72	Professional		$1,181.16	$1,745.41	$4,377.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.81 / $2,641.30 / $3,939.54	Professional		$1,451.81	$2,641.30	$3,939.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,575.10 / $3,019.85 / $3,622.95	Professional		$2,575.10	$3,019.85	$3,622.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,850.68 / $2,394.71 / $3,242.75	Facility		$1,850.68	$2,394.71	$3,242.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.80 / $2,326.23 / $3,647.13	Professional		$1,942.80	$2,326.23	$3,647.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,763.44 / $2,535.28 / $2,793.23	Facility		$1,763.44	$2,535.28	$2,793.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,856.72 / $2,648.99 / $5,949.00	Facility		$1,856.72	$2,648.99	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,229.39 / $2,797.51 / $3,828.39	Professional		$2,229.39	$2,797.51	$3,828.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,508.00 / $3,253.90 / $4,373.28	Professional		$2,508.00	$3,253.90	$4,373.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.48 / $2,620.21 / $4,191.72	Professional		$1,830.48	$2,620.21	$4,191.72