Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,687.50 / $5,437.50 / $10,500.00	Facility		$4,687.50	$5,437.50	$10,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,482.26 / $3,187.50 / $7,312.50	Professional		$2,482.26	$3,187.50	$7,312.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,093.75 / $7,599.42 / $10,895.63	Facility		$6,093.75	$7,599.42	$10,895.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,952.58 / $4,136.17 / $6,727.57	Professional		$3,952.58	$4,136.17	$6,727.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $8,233.53 / $9,866.50	Professional		$3,750.00	$8,233.53	$9,866.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,812.50 / $3,937.50 / $7,820.63	Facility		$2,812.50	$3,937.50	$7,820.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $4,500.00 / $5,250.00	Professional		$3,750.00	$4,500.00	$5,250.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,937.50 / $8,278.12	Facility		$3,750.00	$3,937.50	$8,278.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,937.50 / $4,743.75 / $8,250.00	Facility		$3,937.50	$4,743.75	$8,250.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,952.58 / $4,125.00 / $5,400.00	Professional		$3,952.58	$4,125.00	$5,400.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,312.50 / $11,411.25 / $14,722.13	Facility		$7,312.50	$11,411.25	$14,722.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,623.00 / $7,373.90 / $11,794.14	Professional		$6,623.00	$7,373.90	$11,794.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.53 / $1,575.00 / $3,750.00	Professional		$1,226.53	$1,575.00	$3,750.00