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 $1,318.03 / $1,912.27 / $4,471.85	Professional		$1,318.03	$1,912.27	$4,471.85
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 $1,711.75 / $2,746.48 / $4,215.75	Professional		$1,711.75	$2,746.48	$4,215.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,617.89 / $3,079.18 / $3,678.80	Professional		$2,617.89	$3,079.18	$3,678.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.66 / $2,565.42 / $3,840.21	Facility		$1,816.66	$2,565.42	$3,840.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.59 / $2,515.27 / $3,772.90	Professional		$2,248.59	$2,515.27	$3,772.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,011.16 / $2,771.06 / $3,037.11	Facility		$2,011.16	$2,771.06	$3,037.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,839.13 / $2,734.55 / $5,217.00	Facility		$1,839.13	$2,734.55	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,581.73 / $2,991.78 / $3,950.44	Professional		$2,581.73	$2,991.78	$3,950.44
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 $2,620.02 / $3,346.00 / $4,497.06	Professional		$2,620.02	$3,346.00	$4,497.06
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 $2,082.08 / $3,006.09 / $4,465.66	Professional		$2,082.08	$3,006.09	$4,465.66