Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,628.36 / $7,920.26 / $20,400.00	Facility		$2,628.36	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,223.27 / $1,774.67 / $4,145.72	Professional		$1,223.27	$1,774.67	$4,145.72
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 $1,587.01 / $2,540.53 / $3,907.95	Professional		$1,587.01	$2,540.53	$3,907.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,427.13 / $2,855.00 / $3,410.74	Professional		$2,427.13	$2,855.00	$3,410.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,685.94 / $2,377.69 / $3,279.69	Facility		$1,685.94	$2,377.69	$3,279.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,043.06 / $2,331.86 / $3,497.80	Professional		$2,043.06	$2,331.86	$3,497.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,877.92 / $2,549.26 / $2,662.58	Facility		$1,877.92	$2,549.26	$2,662.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,700.54 / $2,537.78 / $5,217.00	Facility		$1,700.54	$2,537.78	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,321.79 / $2,720.20 / $3,654.42	Professional		$2,321.79	$2,720.20	$3,654.42
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 $2,432.44 / $3,101.71 / $4,168.72	Professional		$2,432.44	$3,101.71	$4,168.72
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 $1,843.19 / $2,688.00 / $4,168.58	Professional		$1,843.19	$2,688.00	$4,168.58