Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,028.06 / $7,920.26 / $20,400.00	Facility		$2,028.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.35 / $1,467.28 / $3,873.04	Professional		$779.35	$1,467.28	$3,873.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.72 / $2,382.17 / $3,817.45	Professional		$1,399.72	$2,382.17	$3,817.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.15 / $2,193.46 / $3,287.68	Professional		$1,470.15	$2,193.46	$3,287.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.86 / $1,825.01 / $3,194.19	Facility		$1,153.86	$1,825.01	$3,194.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.45 / $2,310.64 / $3,336.84	Professional		$1,509.45	$2,310.64	$3,336.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,607.00 / $2,639.93 / $2,925.22	Facility		$1,607.00	$2,639.93	$2,925.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,173.35 / $2,108.08 / $3,668.38	Facility		$1,173.35	$2,108.08	$3,668.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,694.47 / $2,565.00 / $3,633.75	Professional		$1,694.47	$2,565.00	$3,633.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,229.67 / $14,408.62	Facility		$8,391.79	$11,229.67	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,760.93 / $2,629.26 / $4,050.56	Professional		$1,760.93	$2,629.26	$4,050.56
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 $2,104.55 / $2,791.75 / $4,428.89	Professional		$2,104.55	$2,791.75	$4,428.89