Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,382.79 / $5,116.62 / $20,400.00	Facility		$4,382.79	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.06 / $2,387.36 / $6,888.31	Professional		$1,874.06	$2,387.36	$6,888.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,205.76 / $4,201.39 / $6,101.51	Professional		$2,205.76	$4,201.39	$6,101.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,479.85 / $4,569.35 / $5,587.55	Professional		$3,479.85	$4,569.35	$5,587.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,297.29 / $3,922.73 / $6,016.40	Facility		$2,297.29	$3,922.73	$6,016.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.04 / $3,916.25 / $6,525.60	Professional		$3,317.04	$3,916.25	$6,525.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,039.59 / $4,239.08 / $4,450.81	Facility		$3,039.59	$4,239.08	$4,450.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,376.62 / $4,448.80 / $6,016.40	Facility		$2,376.62	$4,448.80	$6,016.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,712.00 / $4,772.45 / $6,241.50	Professional		$3,712.00	$4,772.45	$6,241.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,412.00 / $11,412.00 / $11,412.00	Facility		$11,412.00	$11,412.00	$11,412.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,022.30 / $5,158.29 / $6,233.79	Professional		$4,022.30	$5,158.29	$6,233.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,180.50 / $4,397.54 / $6,825.96	Professional		$3,180.50	$4,397.54	$6,825.96