Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,258.84 / $7,920.26 / $23,856.49	Facility		$3,258.84	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.64 / $2,284.42 / $5,146.47	Professional		$1,515.64	$2,284.42	$5,146.47
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 $1,973.64 / $3,161.53 / $4,851.01	Professional		$1,973.64	$3,161.53	$4,851.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,013.87 / $3,544.07 / $4,235.26	Professional		$3,013.87	$3,544.07	$4,235.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,170.21 / $2,951.20 / $3,978.85	Facility		$2,170.21	$2,951.20	$3,978.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,618.69 / $2,894.29 / $4,341.43	Professional		$2,618.69	$2,894.29	$4,341.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,134.54 / $3,135.48 / $3,305.11	Facility		$2,134.54	$3,135.48	$3,305.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,170.21 / $3,062.16 / $4,208.97	Facility		$2,170.21	$3,062.16	$4,208.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,899.38 / $3,335.40 / $4,543.88	Professional		$2,899.38	$3,335.40	$4,543.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,016.73 / $3,850.21 / $5,174.72	Professional		$3,016.73	$3,850.21	$5,174.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,240.48 / $3,289.23 / $5,081.59	Professional		$2,240.48	$3,289.23	$5,081.59