Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,458.41 / $7,920.26 / $20,400.00	Facility		$2,458.41	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.47 / $1,563.69 / $3,529.89	Professional		$1,021.47	$1,563.69	$3,529.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.15 / $2,151.17 / $3,320.16	Professional		$1,333.15	$2,151.17	$3,320.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,073.14 / $2,430.28 / $2,913.29	Professional		$2,073.14	$2,430.28	$2,913.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.50 / $2,023.68 / $2,703.00	Facility		$1,552.50	$2,023.68	$2,703.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.80 / $1,981.35 / $2,972.03	Professional		$1,807.80	$1,981.35	$2,972.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,549.43 / $2,136.63 / $2,263.26	Facility		$1,549.43	$2,136.63	$2,263.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,563.69 / $2,234.03 / $7,090.00	Facility		$1,563.69	$2,234.03	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,953.44 / $2,277.39 / $3,102.02	Professional		$1,953.44	$2,277.39	$3,102.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,062.81 / $2,636.53 / $3,543.52	Professional		$2,062.81	$2,636.53	$3,543.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.50 / $2,230.78 / $3,535.13	Professional		$1,616.50	$2,230.78	$3,535.13