Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,723.26 / $7,920.26 / $20,400.00	Facility		$2,723.26	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.56 / $1,822.85 / $6,400.94	Professional		$1,140.56	$1,822.85	$6,400.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.87 / $2,682.25 / $3,616.87	Professional		$1,666.87	$2,682.25	$3,616.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,954.40 / $2,798.10 / $3,150.38	Professional		$1,954.40	$2,798.10	$3,150.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,822.85 / $2,641.90 / $3,919.13	Facility		$1,822.85	$2,641.90	$3,919.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,878.33 / $2,154.00 / $3,901.17	Professional		$1,878.33	$2,154.00	$3,901.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,691.92 / $2,334.42 / $2,477.92	Facility		$1,691.92	$2,334.42	$2,477.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,822.85 / $2,926.13 / $3,919.13	Facility		$1,822.85	$2,926.13	$3,919.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,124.12 / $2,866.40 / $3,634.89	Professional		$2,124.12	$2,866.40	$3,634.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,262.08 / $3,017.80 / $3,858.22	Professional		$2,262.08	$3,017.80	$3,858.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,864.01 / $2,677.61 / $3,913.02	Professional		$1,864.01	$2,677.61	$3,913.02