Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.66 / $7,920.26 / $20,400.00	Facility		$2,090.66	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.37 / $1,473.58 / $3,335.19	Professional		$961.37	$1,473.58	$3,335.19
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 $1,253.18 / $2,023.91 / $3,118.50	Professional		$1,253.18	$2,023.91	$3,118.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,966.58 / $2,303.50 / $2,763.54	Professional		$1,966.58	$2,303.50	$2,763.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.58 / $1,944.16 / $2,873.99	Facility		$1,473.58	$1,944.16	$2,873.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.00 / $1,865.28 / $2,808.70	Professional		$1,692.00	$1,865.28	$2,808.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,446.23 / $1,999.95 / $2,135.29	Facility		$1,446.23	$1,999.95	$2,135.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,473.58 / $2,018.80 / $2,710.74	Facility		$1,473.58	$2,018.80	$2,710.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,835.80 / $2,132.77 / $2,920.21	Professional		$1,835.80	$2,132.77	$2,920.21
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 $1,942.88 / $2,487.44 / $3,343.16	Professional		$1,942.88	$2,487.44	$3,343.16
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 $1,510.88 / $2,123.11 / $3,272.73	Professional		$1,510.88	$2,123.11	$3,272.73