Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,144.92 / $7,920.26	Facility		$2,747.00	$4,144.92	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.13 / $2,227.32 / $5,323.38	Professional		$1,534.13	$2,227.32	$5,323.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.87 / $3,196.06 / $5,183.39	Professional		$2,070.87	$3,196.06	$5,183.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,110.46 / $3,655.69 / $4,370.99	Professional		$3,110.46	$3,655.69	$4,370.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,171.94 / $3,044.20 / $4,141.53	Facility		$2,171.94	$3,044.20	$4,141.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,615.79 / $3,069.94 / $4,622.67	Professional		$2,615.79	$3,069.94	$4,622.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,425.41 / $3,289.88 / $3,531.57	Facility		$2,425.41	$3,289.88	$3,531.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,171.94 / $3,051.43 / $4,477.57	Facility		$2,171.94	$3,051.43	$4,477.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,994.29 / $3,531.04 / $4,821.43	Professional		$2,994.29	$3,531.04	$4,821.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,934.79 / $8,934.79 / $8,934.79	Facility		$8,934.79	$8,934.79	$8,934.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,209.22 / $4,114.02 / $5,529.28	Professional		$3,209.22	$4,114.02	$5,529.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,439.71 / $3,453.10 / $5,405.83	Professional		$2,439.71	$3,453.10	$5,405.83