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 $1,726.56 / $2,735.28 / $6,412.94	Professional		$1,726.56	$2,735.28	$6,412.94
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 $2,177.67 / $3,851.93 / $6,049.75	Professional		$2,177.67	$3,851.93	$6,049.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,749.25 / $4,415.58 / $5,268.65	Professional		$3,749.25	$4,415.58	$5,268.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,635.15 / $3,421.72 / $5,005.64	Facility		$1,635.15	$3,421.72	$5,005.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.48 / $3,589.24 / $5,413.93	Professional		$1,771.48	$3,589.24	$5,413.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,390.29 / $3,933.27 / $4,121.84	Facility		$2,390.29	$3,933.27	$4,121.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,549.86 / $3,677.22 / $5,249.00	Facility		$1,549.86	$3,677.22	$5,249.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,434.90 / $4,159.56 / $5,683.37	Professional		$3,434.90	$4,159.56	$5,683.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,762.14 / $4,801.64 / $6,453.45	Professional		$3,762.14	$4,801.64	$6,453.45
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 $2,745.29 / $4,058.25 / $6,337.21	Professional		$2,745.29	$4,058.25	$6,337.21