Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.04 / $7,920.26 / $20,400.00	Facility		$2,453.04	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.21 / $1,559.52 / $3,523.54	Professional		$1,018.21	$1,559.52	$3,523.54
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 $1,329.25 / $2,137.67 / $3,309.87	Professional		$1,329.25	$2,137.67	$3,309.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,071.71 / $2,427.15 / $2,911.29	Professional		$2,071.71	$2,427.15	$2,911.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,524.06 / $2,021.20 / $2,706.40	Facility		$1,524.06	$2,021.20	$2,706.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,713.60 / $1,970.84 / $2,967.65	Professional		$1,713.60	$1,970.84	$2,967.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,555.73 / $2,107.79 / $2,258.57	Facility		$1,555.73	$2,107.79	$2,258.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,524.06 / $2,074.32 / $2,871.20	Facility		$1,524.06	$2,074.32	$2,871.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,948.29 / $2,260.92 / $3,095.59	Professional		$1,948.29	$2,260.92	$3,095.59
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 $2,057.89 / $2,631.07 / $3,536.18	Professional		$2,057.89	$2,631.07	$3,536.18
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 $1,545.11 / $2,221.10 / $3,466.47	Professional		$1,545.11	$2,221.10	$3,466.47