Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,422.97 / $7,920.26	Facility		$2,747.00	$6,422.97	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,688.50 / $3,881.26 / $9,259.24	Professional		$2,688.50	$3,881.26	$9,259.24
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 $3,629.62 / $5,614.08 / $9,044.14	Professional		$3,629.62	$5,614.08	$9,044.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,392.29 / $6,357.13 / $7,577.53	Professional		$5,392.29	$6,357.13	$7,577.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,687.20 / $5,294.18 / $7,277.04	Facility		$3,687.20	$5,294.18	$7,277.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,634.39 / $5,356.30 / $8,065.44	Professional		$4,634.39	$5,356.30	$8,065.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,314.96 / $5,720.99 / $6,161.99	Facility		$4,314.96	$5,720.99	$6,161.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,687.20 / $5,335.77 / $7,831.88	Facility		$3,687.20	$5,335.77	$7,831.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,265.48 / $6,135.48 / $8,433.35	Professional		$5,265.48	$6,135.48	$8,433.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,866.08 / $15,866.08 / $15,866.08	Facility		$15,866.08	$15,866.08	$15,866.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,612.76 / $7,178.26 / $9,647.65	Professional		$5,612.76	$7,178.26	$9,647.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,330.47 / $6,083.97 / $9,454.54	Professional		$4,330.47	$6,083.97	$9,454.54