Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,078.51 / $3,021.64 / $7,212.50	Professional		$2,078.51	$3,021.64	$7,212.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,817.46 / $4,344.35 / $7,033.13	Professional		$2,817.46	$4,344.35	$7,033.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,208.42 / $4,953.68 / $5,913.90	Professional		$4,208.42	$4,953.68	$5,913.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,839.13 / $4,125.47 / $5,627.88	Facility		$2,839.13	$4,125.47	$5,627.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,552.66 / $4,166.72 / $6,274.18	Professional		$3,552.66	$4,166.72	$6,274.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,294.12 / $4,457.97 / $4,791.84	Facility		$3,294.12	$4,457.97	$4,791.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,839.13 / $4,139.64 / $6,086.50	Facility		$2,839.13	$4,139.64	$6,086.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,051.20 / $4,783.49 / $6,553.93	Professional		$4,051.20	$4,783.49	$6,553.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,171.54 / $12,171.54 / $12,171.54	Facility		$12,171.54	$12,171.54	$12,171.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,361.79 / $5,582.14 / $7,502.45	Professional		$4,361.79	$5,582.14	$7,502.45
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 $3,394.49 / $4,684.41 / $7,321.25	Professional		$3,394.49	$4,684.41	$7,321.25