Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.44 / $2,544.82 / $2,925.47	Professional		$1,669.44	$2,544.82	$2,925.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,604.53 / $4,198.43 / $5,036.35	Professional		$3,604.53	$4,198.43	$5,036.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,233.53 / $2,621.16 / $3,718.76	Facility		$2,233.53	$2,621.16	$3,718.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.57 / $2,104.35 / $2,310.78	Professional		$1,561.57	$2,104.35	$2,310.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,406.59 / $5,080.35 / $8,261.68	Facility		$1,406.59	$5,080.35	$8,261.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,921.70 / $2,544.82 / $3,718.76	Facility		$1,921.70	$2,544.82	$3,718.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,313.24 / $3,692.83 / $4,031.62	Professional		$3,313.24	$3,692.83	$4,031.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,923.81 / $4,485.91 / $6,164.97	Professional		$2,923.81	$4,485.91	$6,164.97
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 $1,046.59 / $2,853.46 / $4,750.81	Professional		$1,046.59	$2,853.46	$4,750.81