Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,515.12 / $8,878.56 / $20,400.00	Facility		$2,515.12	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.55 / $1,694.16 / $5,761.41	Professional		$1,003.55	$1,694.16	$5,761.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.42 / $2,473.94 / $3,325.79	Professional		$1,453.42	$2,473.94	$3,325.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,797.70 / $2,588.01 / $2,935.78	Professional		$1,797.70	$2,588.01	$2,935.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.85 / $2,305.28 / $3,642.44	Facility		$1,437.85	$2,305.28	$3,642.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.32 / $1,906.50 / $3,573.33	Professional		$1,648.32	$1,906.50	$3,573.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,471.91 / $2,073.65 / $2,265.94	Facility		$1,471.91	$2,073.65	$2,265.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,694.16 / $2,646.90 / $6,246.00	Facility		$1,694.16	$2,646.90	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,892.22 / $2,632.22 / $3,325.93	Professional		$1,892.22	$2,632.22	$3,325.93
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 $2,084.34 / $2,774.93 / $3,547.72	Professional		$2,084.34	$2,774.93	$3,547.72
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 $1,656.78 / $2,316.13 / $3,605.56	Professional		$1,656.78	$2,316.13	$3,605.56