Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $2,373.73 / $2,373.73	Professional		$974.76	$2,373.73	$2,373.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,629.36 / $4,388.52 / $6,140.83	Professional		$2,629.36	$4,388.52	$6,140.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,400.58 / $4,155.56 / $5,056.14	Professional		$3,400.58	$4,155.56	$5,056.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $2,492.42 / $5,103.54	Facility		$1,516.70	$2,492.42	$5,103.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $937.91 / $1,407.69 / $1,563.19	Facility		$937.91	$1,407.69	$1,563.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $3,038.86 / $5,103.54	Facility		$1,516.70	$3,038.86	$5,103.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,820.04 / $4,174.39 / $6,105.61	Professional		$1,820.04	$4,174.39	$6,105.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,386.97 / $4,455.71 / $5,869.36	Professional		$3,386.97	$4,455.71	$5,869.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,275.59 / $4,042.38 / $5,310.12	Professional		$2,275.59	$4,042.38	$5,310.12