Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,752.13 / $9,972.00 / $20,400.00	Facility		$2,752.13	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.20 / $2,139.85 / $4,427.68	Professional		$1,060.20	$2,139.85	$4,427.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.09 / $2,154.75 / $3,663.63	Professional		$1,321.09	$2,154.75	$3,663.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.96 / $2,882.03 / $3,216.70	Professional		$1,394.96	$2,882.03	$3,216.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.96 / $2,162.19 / $3,326.61	Facility		$1,394.96	$2,162.19	$3,326.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.94 / $2,228.28 / $4,191.51	Professional		$1,883.94	$2,228.28	$4,191.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,647.84 / $2,346.34 / $2,769.78	Facility		$1,647.84	$2,346.34	$2,769.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,630.15 / $3,005.67 / $8,747.00	Facility		$1,630.15	$3,005.67	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.76 / $2,653.46 / $3,663.63	Professional		$1,940.76	$2,653.46	$3,663.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,535.77 / $2,711.08 / $3,751.11	Professional		$2,535.77	$2,711.08	$3,751.11
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 $1,505.86 / $2,383.26 / $3,821.55	Professional		$1,505.86	$2,383.26	$3,821.55