Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $18,620.87	Facility		$2,187.76	$3,981.07	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,890.45	Professional		$1,318.26	$1,621.81	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $4,265.80	Professional		$1,621.81	$2,818.38	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,715.35	Professional		$2,238.72	$3,019.95	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,265.80	Facility		$1,479.11	$2,398.83	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $3,981.07	Professional		$2,290.87	$2,754.23	$3,981.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,090.30	Facility		$2,238.72	$3,019.95	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,311.31	Facility		$1,513.56	$2,344.23	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,951.21 / $4,168.69	Professional		$79.43	$2,951.21	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,128.31 / $20,892.96	Facility		$5,623.41	$8,128.31	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $4,570.88	Professional		$2,754.23	$3,162.28	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $4,168.69	Professional		$1,995.26	$3,019.95	$4,168.69