Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,716.21 / $8,878.56 / $20,400.00	Facility		$2,716.21	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.55 / $1,836.62 / $6,194.57	Professional		$1,079.55	$1,836.62	$6,194.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.35 / $2,677.10 / $3,587.37	Professional		$1,551.35	$2,677.10	$3,587.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,935.70 / $2,788.13 / $3,168.06	Professional		$1,935.70	$2,788.13	$3,168.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.01 / $2,470.52 / $3,948.73	Facility		$1,472.01	$2,470.52	$3,948.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,763.07 / $2,050.84 / $3,843.86	Professional		$1,763.07	$2,050.84	$3,843.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,625.82 / $2,217.69 / $2,444.16	Facility		$1,625.82	$2,217.69	$2,444.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,836.62 / $2,842.40 / $6,246.00	Facility		$1,836.62	$2,842.40	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,025.54 / $2,849.33 / $3,587.37	Professional		$2,025.54	$2,849.33	$3,587.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,249.16 / $2,993.18 / $3,826.75	Professional		$2,249.16	$2,993.18	$3,826.75
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 $1,807.85 / $2,476.19 / $3,854.46	Professional		$1,807.85	$2,476.19	$3,854.46