Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.35 / $7,920.26 / $20,400.00	Facility		$2,184.35	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.38 / $1,482.37 / $3,440.16	Professional		$1,015.38	$1,482.37	$3,440.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.45 / $2,120.48 / $3,204.83	Professional		$1,300.45	$2,120.48	$3,204.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,998.47 / $2,343.53 / $2,808.35	Professional		$1,998.47	$2,343.53	$2,808.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.25 / $2,038.26 / $2,770.15	Facility		$1,408.25	$2,038.26	$2,770.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.58 / $1,919.36 / $2,838.40	Professional		$1,734.58	$1,919.36	$2,838.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,556.21 / $2,096.42 / $2,193.00	Facility		$1,556.21	$2,096.42	$2,193.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,458.78 / $2,171.52 / $5,949.00	Facility		$1,458.78	$2,171.52	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.70 / $2,238.60 / $3,010.39	Professional		$1,961.70	$2,238.60	$3,010.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,003.77 / $2,543.65 / $3,418.69	Professional		$2,003.77	$2,543.65	$3,418.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.49 / $2,205.94 / $3,374.30	Professional		$1,564.49	$2,205.94	$3,374.30