Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,074.00 / $20,400.00	Facility		$1,758.00	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.22 / $1,276.41 / $2,907.02	Professional		$845.22	$1,276.41	$2,907.02
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 $1,125.64 / $1,795.14 / $2,707.98	Professional		$1,125.64	$1,795.14	$2,707.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.47 / $2,004.68 / $2,405.05	Professional		$1,711.47	$2,004.68	$2,405.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,769.04 / $2,338.11	Facility		$1,285.67	$1,769.04	$2,338.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.00 / $1,630.85 / $2,446.28	Professional		$1,479.00	$1,630.85	$2,446.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,267.94 / $1,704.47 / $1,861.93	Facility		$1,267.94	$1,704.47	$1,861.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,842.04 / $5,217.00	Facility		$1,285.67	$1,842.04	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,612.38 / $1,857.69 / $2,550.12	Professional		$1,612.38	$1,857.69	$2,550.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,695.64 / $2,169.01 / $2,915.17	Professional		$1,695.64	$2,169.01	$2,915.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.66 / $1,823.68 / $2,850.22	Professional		$1,281.66	$1,823.68	$2,850.22