Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $23,988.33	Facility		$3,801.89	$4,897.79	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $5,248.07	Professional		$1,737.80	$2,187.76	$5,248.07
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 $2,089.30 / $3,388.44 / $5,370.32	Professional		$2,089.30	$3,388.44	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $4,677.35	Professional		$3,090.30	$4,073.80	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,786.30	Facility		$1,905.46	$3,019.95	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $5,128.61	Professional		$2,951.21	$3,548.13	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $3,981.07	Facility		$3,090.30	$3,715.35	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,265.80	Facility		$1,905.46	$2,951.21	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,715.35 / $5,248.07	Professional		$79.43	$3,715.35	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $25,118.86 / $66,069.34	Facility		$15,848.93	$25,118.86	$66,069.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Professional		$3,388.44	$4,073.80	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $56,234.13	Facility		$3,311.31	$26,302.68	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $5,370.32	Professional		$2,570.40	$3,801.89	$5,370.32