Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,157.71 / $7,920.26 / $20,400.00	Facility		$2,157.71	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.94 / $1,521.43 / $3,199.51	Professional		$1,010.94	$1,521.43	$3,199.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.48 / $2,167.92 / $3,186.81	Professional		$1,276.48	$2,167.92	$3,186.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,877.88 / $2,205.44 / $2,638.89	Professional		$1,877.88	$2,205.44	$2,638.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.96 / $2,014.11 / $2,890.85	Facility		$1,447.96	$2,014.11	$2,890.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.64 / $1,958.66 / $2,658.50	Professional		$1,624.64	$1,958.66	$2,658.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,636.16 / $1,984.76 / $2,262.59	Facility		$1,636.16	$1,984.76	$2,262.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,447.96 / $2,016.18 / $2,890.85	Facility		$1,447.96	$2,016.18	$2,890.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,899.06 / $2,204.40 / $2,967.30	Professional		$1,899.06	$2,204.40	$2,967.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,879.53 / $2,357.11 / $3,167.98	Professional		$1,879.53	$2,357.11	$3,167.98
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 $1,555.50 / $2,230.19 / $3,262.45	Professional		$1,555.50	$2,230.19	$3,262.45