Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,024.10 / $7,920.26 / $20,400.00	Facility		$2,024.10	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.52 / $922.31 / $2,898.51	Professional		$658.52	$922.31	$2,898.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.76 / $1,690.59 / $2,668.89	Professional		$1,116.76	$1,690.59	$2,668.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.44 / $1,825.41 / $2,211.33	Professional		$1,476.44	$1,825.41	$2,211.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.95 / $1,376.30 / $2,566.69	Facility		$1,065.95	$1,376.30	$2,566.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.10 / $1,575.35 / $2,792.64	Professional		$1,409.10	$1,575.35	$2,792.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,199.52 / $1,701.86 / $1,847.86	Facility		$1,199.52	$1,701.86	$1,847.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,104.02 / $1,822.32 / $6,437.00	Facility		$1,104.02	$1,822.32	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,450.16 / $1,778.04 / $2,548.85	Professional		$1,450.16	$1,778.04	$2,548.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,689.49 / $1,936.42 / $2,927.75	Professional		$1,689.49	$1,936.42	$2,927.75
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 $1,236.57 / $1,710.15 / $2,719.41	Professional		$1,236.57	$1,710.15	$2,719.41