Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $5,220.00 / $10,080.00	Facility		$4,500.00	$5,220.00	$10,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $3,492.00 / $5,220.00	Professional		$2,592.00	$3,492.00	$5,220.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,850.00 / $5,850.00 / $10,459.79	Facility		$5,850.00	$5,850.00	$10,459.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.38 / $3,914.64 / $6,496.11	Professional		$1,688.38	$3,914.64	$6,496.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $7,903.98 / $9,471.62	Professional		$3,600.00	$7,903.98	$9,471.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $3,780.00 / $7,920.00	Facility		$2,700.00	$3,780.00	$7,920.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,040.00	Professional		$3,600.00	$4,320.00	$5,040.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,960.00 / $5,400.00	Facility		$3,600.00	$3,960.00	$5,400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,780.00 / $4,554.00 / $9,102.61	Facility		$3,780.00	$4,554.00	$9,102.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,914.64 / $4,140.00 / $5,184.00	Professional		$3,914.64	$4,140.00	$5,184.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,020.00 / $10,954.80 / $14,873.04	Facility		$7,020.00	$10,954.80	$14,873.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,357.87 / $7,033.10 / $11,321.99	Professional		$6,357.87	$7,033.10	$11,321.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $3,780.00	Professional		$1,512.00	$1,512.00	$3,780.00