Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.90 / $1,836.55 / $4,704.18	Professional		$1,166.90	$1,836.55	$4,704.18
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 $1,657.91 / $2,781.52 / $4,565.09	Professional		$1,657.91	$2,781.52	$4,565.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,755.31 / $3,233.23 / $3,871.91	Professional		$2,755.31	$3,233.23	$3,871.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,773.53 / $2,575.44 / $3,283.53	Facility		$1,773.53	$2,575.44	$3,283.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.48 / $2,601.88 / $4,082.08	Professional		$2,091.48	$2,601.88	$4,082.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,747.11 / $2,581.53 / $3,114.83	Facility		$1,747.11	$2,581.53	$3,114.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,829.29 / $2,670.05 / $5,356.42	Facility		$1,829.29	$2,670.05	$5,356.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,439.36 / $3,077.40 / $4,235.68	Professional		$2,439.36	$3,077.40	$4,235.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,565.08 / $14,391.80	Facility		$4,846.16	$6,565.08	$14,391.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,832.82 / $3,628.54 / $4,876.80	Professional		$2,832.82	$3,628.54	$4,876.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,027.28 / $2,947.84 / $4,715.85	Professional		$2,027.28	$2,947.84	$4,715.85