Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $15,600.00 / $33,600.00	Facility		$1,300.00	$15,600.00	$33,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,900.00 / $17,400.00	Professional		$1,000.00	$1,900.00	$17,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,500.00 / $19,500.00 / $34,866.00	Facility		$19,500.00	$19,500.00	$34,866.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $13,235.89 / $21,529.15	Professional		$1,000.00	$13,235.89	$21,529.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $29,262.92 / $31,573.16	Professional		$12,000.00	$29,262.92	$31,573.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $12,000.00 / $25,026.00	Facility		$1,200.00	$12,000.00	$25,026.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $16,200.00	Professional		$12,000.00	$12,000.00	$16,200.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,600.00 / $26,490.00	Facility		$12,000.00	$12,600.00	$26,490.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $14,400.00 / $25,320.00	Facility		$1,200.00	$14,400.00	$25,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $13,200.00 / $17,280.00	Professional		$12,000.00	$13,200.00	$17,280.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,400.00 / $36,516.00 / $47,110.80	Facility		$23,400.00	$36,516.00	$47,110.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,920.00 / $22,309.56 / $33,552.87	Professional		$10,920.00	$22,309.56	$33,552.87
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $5,040.00 / $14,400.00	Professional		$5,040.00	$5,040.00	$14,400.00