Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,042.97 / $59,023.00	Facility		$3,107.00	$13,042.97	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.06 / $1,663.75 / $2,106.33	Professional		$1,508.06	$1,663.75	$2,106.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.00 / $1,814.00 / $1,814.00	Facility		$1,814.00	$1,814.00	$1,814.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,885.95 / $3,753.85 / $4,169.21	Professional		$2,885.95	$3,753.85	$4,169.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.75 / $2,279.34 / $4,785.78	Facility		$1,663.75	$2,279.34	$4,785.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,834.74 / $2,834.74 / $92,699.07	Professional		$2,834.74	$2,834.74	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,095.03 / $2,984.37 / $8,210.26	Facility		$2,095.03	$2,984.37	$8,210.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,663.75 / $2,146.30 / $3,577.06	Facility		$1,663.75	$2,146.30	$3,577.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,745.86 / $3,730.47 / $8,478.37	Professional		$1,745.86	$3,730.47	$8,478.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,316.05 / $7,490.32 / $486,217.34	Facility		$5,316.05	$7,490.32	$486,217.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,103.88 / $3,461.92 / $5,311.90	Professional		$3,103.88	$3,461.92	$5,311.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,544.95 / $5,671.92	Professional		$2,371.77	$3,544.95	$5,671.92