Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,579.84 / $7,920.26 / $20,400.00	Facility		$2,579.84	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.19 / $1,812.08 / $4,087.04	Professional		$1,182.19	$1,812.08	$4,087.04
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 $1,550.90 / $2,487.67 / $3,847.96	Professional		$1,550.90	$2,487.67	$3,847.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,397.67 / $2,813.69 / $3,369.35	Professional		$2,397.67	$2,813.69	$3,369.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,753.08 / $2,342.98 / $3,156.05	Facility		$1,753.08	$2,342.98	$3,156.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.60 / $2,286.36 / $3,442.77	Professional		$1,998.60	$2,286.36	$3,442.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,806.70 / $2,462.80 / $2,621.71	Facility		$1,806.70	$2,462.80	$2,621.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,753.08 / $2,412.71 / $3,335.43	Facility		$1,753.08	$2,412.71	$3,335.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,271.54 / $2,632.67 / $3,593.31	Professional		$2,271.54	$2,632.67	$3,593.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,390.62 / $3,054.10 / $4,104.74	Professional		$2,390.62	$3,054.10	$4,104.74
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 $1,802.88 / $2,581.27 / $4,026.94	Professional		$1,802.88	$2,581.27	$4,026.94