Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.08 / $7,920.26 / $21,735.00	Facility		$2,503.08	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.39 / $1,581.58 / $3,598.86	Professional		$984.39	$1,581.58	$3,598.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.09 / $2,200.29 / $3,370.57	Professional		$1,353.09	$2,200.29	$3,370.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,106.08 / $2,470.33 / $2,959.58	Professional		$2,106.08	$2,470.33	$2,959.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,502.50 / $2,058.27 / $2,766.75	Facility		$1,502.50	$2,058.27	$2,766.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.14 / $2,013.97 / $3,020.95	Professional		$1,846.14	$2,013.97	$3,020.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,593.04 / $2,182.19 / $2,308.15	Facility		$1,593.04	$2,182.19	$2,308.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,581.58 / $2,261.66 / $8,647.00	Facility		$1,581.58	$2,261.66	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,984.62 / $2,321.33 / $3,154.54	Professional		$1,984.62	$2,321.33	$3,154.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,099.71 / $2,688.82 / $3,613.81	Professional		$2,099.71	$2,688.82	$3,613.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $26,830.35	Facility		$2,912.00	$17,192.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.51 / $2,325.80 / $3,632.15	Professional		$1,616.51	$2,325.80	$3,632.15