Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $24,547.09 / $24,547.09	Facility		$5,370.32	$24,547.09	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $6,918.31	Professional		$3,388.44	$4,265.80	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $15,848.93	Facility		$8,912.51	$8,912.51	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $11,748.98 / $14,454.40	Professional		$5,495.41	$11,748.98	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,025.60 / $7,585.78	Professional		$5,370.32	$6,025.60	$7,585.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $7,585.78	Facility		$5,495.41	$5,495.41	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $14,454.40	Facility		$3,801.89	$7,413.10	$14,454.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $6,025.60 / $7,585.78	Professional		$79.43	$6,025.60	$7,585.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $16,595.87 / $21,379.62	Facility		$8,128.31	$16,595.87	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $6,606.93	Professional		$4,365.16	$4,677.35	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $8,709.64	Facility		$6,606.93	$6,606.93	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $6,606.93	Professional		$2,290.87	$2,290.87	$6,606.93