Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $7,920.26 / $20,400.00	Facility		$2,528.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.02 / $1,741.43 / $3,925.35	Professional		$1,135.02	$1,741.43	$3,925.35
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 $1,437.81 / $2,384.81 / $3,584.58	Professional		$1,437.81	$2,384.81	$3,584.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,303.96 / $2,704.50 / $3,237.64	Professional		$2,303.96	$2,704.50	$3,237.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,444.85 / $2,252.46 / $3,000.50	Facility		$1,444.85	$2,252.46	$3,000.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.04 / $2,194.41 / $3,310.01	Professional		$1,889.04	$2,194.41	$3,310.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,715.32 / $2,363.90 / $2,518.53	Facility		$1,715.32	$2,363.90	$2,518.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,444.85 / $2,272.32 / $3,205.86	Facility		$1,444.85	$2,272.32	$3,205.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,165.40 / $2,527.21 / $3,452.06	Professional		$2,165.40	$2,527.21	$3,452.06
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 $2,292.48 / $2,933.90 / $3,943.19	Professional		$2,292.48	$2,933.90	$3,943.19
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 $1,772.33 / $2,480.64 / $3,870.51	Professional		$1,772.33	$2,480.64	$3,870.51