Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.06 / $7,920.26 / $20,400.00	Facility		$1,948.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $1,370.39 / $4,221.00	Professional		$836.74	$1,370.39	$4,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.99 / $1,880.56 / $2,910.67	Professional		$1,168.99	$1,880.56	$2,910.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.39 / $2,137.33 / $2,563.73	Professional		$1,824.39	$2,137.33	$2,563.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.39 / $1,850.03 / $2,680.54	Facility		$1,370.39	$1,850.03	$2,680.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.40 / $1,742.06 / $2,787.29	Professional		$1,586.40	$1,742.06	$2,787.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,368.71 / $1,873.99 / $1,986.55	Facility		$1,368.71	$1,873.99	$1,986.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,370.39 / $1,944.34 / $2,524.53	Facility		$1,370.39	$1,944.34	$2,524.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,703.14 / $1,994.45 / $2,722.45	Professional		$1,703.14	$1,994.45	$2,722.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,810.65 / $2,314.17 / $3,110.29	Professional		$1,810.65	$2,314.17	$3,110.29
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 $1,388.17 / $1,957.89 / $3,055.11	Professional		$1,388.17	$1,957.89	$3,055.11