Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $10,536.70 / $32,689.00	Facility		$5,116.62	$10,536.70	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,268.87 / $5,805.12 / $15,057.20	Professional		$4,268.87	$5,805.12	$15,057.20
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 $4,860.43 / $9,209.95 / $13,596.98	Professional		$4,860.43	$9,209.95	$13,596.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,637.62 / $10,028.87 / $12,214.63	Professional		$7,637.62	$10,028.87	$12,214.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,941.00 / $8,609.94 / $13,461.00	Facility		$4,941.00	$8,609.94	$13,461.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,389.90 / $8,815.79 / $14,406.78	Professional		$7,389.90	$8,815.79	$14,406.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,166.20 / $9,304.00 / $9,826.21	Facility		$6,166.20	$9,304.00	$9,826.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,316.72 / $9,886.34 / $13,461.00	Facility		$5,316.72	$9,886.34	$13,461.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,196.79 / $10,614.73 / $13,908.95	Professional		$8,196.79	$10,614.73	$13,908.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,489.39 / $25,489.39 / $25,489.39	Facility		$25,489.39	$25,489.39	$25,489.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,991.12 / $11,446.81 / $13,868.10	Professional		$8,991.12	$11,446.81	$13,868.10
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 $7,244.98 / $10,122.71 / $15,258.23	Professional		$7,244.98	$10,122.71	$15,258.23