Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.31 / $7,920.26 / $20,400.00	Facility		$2,081.31	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.95 / $956.01 / $3,110.14	Professional		$688.95	$956.01	$3,110.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.46 / $1,777.57 / $2,765.60	Professional		$1,160.46	$1,777.57	$2,765.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,582.86 / $1,956.99 / $2,366.58	Professional		$1,582.86	$1,956.99	$2,366.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,114.66 / $1,416.28 / $2,551.88	Facility		$1,114.66	$1,416.28	$2,551.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.86 / $1,690.27 / $2,889.21	Professional		$1,531.86	$1,690.27	$2,889.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,297.49 / $1,794.26 / $1,984.54	Facility		$1,297.49	$1,794.26	$1,984.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,190.52 / $1,895.58 / $6,437.00	Facility		$1,190.52	$1,895.58	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,544.32 / $1,840.20 / $2,659.17	Professional		$1,544.32	$1,840.20	$2,659.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,747.91 / $2,008.24 / $3,107.14	Professional		$1,747.91	$2,008.24	$3,107.14
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 $1,063.74 / $1,768.19 / $2,822.77	Professional		$1,063.74	$1,768.19	$2,822.77