Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.78 / $9,972.00 / $20,400.00	Facility		$3,388.78	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.32 / $2,560.17 / $8,827.25	Professional		$1,534.32	$2,560.17	$8,827.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.06 / $3,933.27 / $4,972.95	Professional		$2,268.06	$3,933.27	$4,972.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,694.32 / $3,878.07 / $4,398.60	Professional		$2,694.32	$3,878.07	$4,398.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,560.17 / $3,391.00 / $5,504.39	Facility		$2,560.17	$3,391.00	$5,504.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.67 / $3,338.88 / $5,354.70	Professional		$2,693.67	$3,338.88	$5,354.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,291.19 / $3,168.43 / $3,388.19	Facility		$2,291.19	$3,168.43	$3,388.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,560.17 / $3,992.60 / $5,504.39	Facility		$2,560.17	$3,992.60	$5,504.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,890.23 / $4,013.14 / $5,016.43	Professional		$2,890.23	$4,013.14	$5,016.43
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 $3,115.74 / $4,149.27 / $5,304.79	Professional		$3,115.74	$4,149.27	$5,304.79
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 $2,537.12 / $3,594.05 / $5,389.73	Professional		$2,537.12	$3,594.05	$5,389.73