Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,029.70 / $7,920.26 / $20,400.00	Facility		$2,029.70	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.01 / $966.86 / $2,378.54	Professional		$685.01	$966.86	$2,378.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.31 / $1,716.10 / $2,694.61	Professional		$1,145.31	$1,716.10	$2,694.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.25 / $1,844.97 / $2,231.27	Professional		$1,492.25	$1,844.97	$2,231.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,083.17 / $1,376.27 / $2,517.63	Facility		$1,083.17	$1,376.27	$2,517.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.92 / $1,595.16 / $2,805.87	Professional		$1,492.92	$1,595.16	$2,805.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,268.26 / $1,720.79 / $1,857.91	Facility		$1,268.26	$1,720.79	$1,857.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,123.57 / $1,910.32 / $5,852.00	Facility		$1,123.57	$1,910.32	$5,852.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,462.31 / $1,786.94 / $2,556.44	Professional		$1,462.31	$1,786.94	$2,556.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,697.48 / $1,955.08 / $2,941.61	Professional		$1,697.48	$1,955.08	$2,941.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.63 / $1,727.05 / $2,746.27	Professional		$1,198.63	$1,727.05	$2,746.27