Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,110.18 / $7,920.26	Facility		$2,747.00	$4,110.18	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $2,209.14 / $5,278.78	Professional		$1,518.30	$2,209.14	$5,278.78
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 $2,053.37 / $3,169.25 / $5,139.14	Professional		$2,053.37	$3,169.25	$5,139.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,086.41 / $3,627.15 / $4,337.18	Professional		$3,086.41	$3,627.15	$4,337.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,102.85 / $2,982.34 / $4,126.75	Facility		$2,102.85	$2,982.34	$4,126.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,506.88 / $3,000.74 / $4,586.87	Professional		$2,506.88	$3,000.74	$4,586.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,055.73 / $2,955.37 / $3,501.42	Facility		$2,055.73	$2,955.37	$3,501.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,102.85 / $3,026.52 / $4,440.67	Facility		$2,102.85	$3,026.52	$4,440.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,911.26 / $3,463.61 / $4,761.00	Professional		$2,911.26	$3,463.61	$4,761.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,972.06 / $8,972.06 / $8,972.06	Facility		$8,972.06	$8,972.06	$8,972.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,182.78 / $4,078.89 / $5,482.07	Professional		$3,182.78	$4,078.89	$5,482.07
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 $2,320.38 / $3,366.93 / $5,324.05	Professional		$2,320.38	$3,366.93	$5,324.05