Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,507.32 / $7,920.26	Facility		$2,747.00	$6,507.32	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,747.10 / $3,930.96 / $15,369.90	Professional		$2,747.10	$3,930.96	$15,369.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.47 / $6,690.55 / $9,165.10	Professional		$4,168.47	$6,690.55	$9,165.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,754.42 / $6,810.10 / $7,667.49	Professional		$4,754.42	$6,810.10	$7,667.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,930.96 / $6,098.08 / $8,451.56	Facility		$3,930.96	$6,098.08	$8,451.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,698.72 / $5,392.40 / $9,924.26	Professional		$4,698.72	$5,392.40	$9,924.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,250.68 / $5,717.40 / $6,244.40	Facility		$4,250.68	$5,717.40	$6,244.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,930.96 / $6,550.94 / $8,271.16	Facility		$3,930.96	$6,550.94	$8,271.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,311.97 / $7,154.83 / $9,165.10	Professional		$5,311.97	$7,154.83	$9,165.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,160.68 / $16,160.68 / $16,160.68	Facility		$16,160.68	$16,160.68	$16,160.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,689.65 / $7,647.06 / $9,776.68	Professional		$5,689.65	$7,647.06	$9,776.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,708.75 / $6,610.20 / $9,842.11	Professional		$4,708.75	$6,610.20	$9,842.11