Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $14,614.14 / $59,252.00	Facility		$2,747.00	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,989.42 / $2,498.76 / $5,083.20	Professional		$1,989.42	$2,498.76	$5,083.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,984.93 / $4,641.53 / $5,567.01	Professional		$3,984.93	$4,641.53	$5,567.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,336.34 / $2,748.64 / $5,080.43	Facility		$2,336.34	$2,748.64	$5,080.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,519.91 / $2,519.91 / $2,519.91	Professional		$2,519.91	$2,519.91	$2,519.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,344.01 / $1,986.23 / $4,353.66	Facility		$1,344.01	$1,986.23	$4,353.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,120.31 / $2,573.71 / $5,080.43	Facility		$2,120.31	$2,573.71	$5,080.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,943.14 / $4,284.64 / $4,456.26	Professional		$2,943.14	$4,284.64	$4,456.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,457.32 / $39,875.19 / $51,188.76	Facility		$19,457.32	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,518.13 / $5,121.07 / $6,231.58	Professional		$3,518.13	$5,121.07	$6,231.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,579.61 / $4,581.08 / $7,924.14	Professional		$2,579.61	$4,581.08	$7,924.14