Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.76 / $11,652.00 / $23,856.49	Facility		$2,715.76	$11,652.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.85 / $1,655.71 / $6,523.00	Professional		$1,153.85	$1,655.71	$6,523.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.95 / $2,610.23 / $3,642.44	Professional		$1,637.95	$2,610.23	$3,642.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,966.20 / $2,807.00 / $3,195.40	Professional		$1,966.20	$2,807.00	$3,195.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,655.71 / $2,367.67 / $3,559.78	Facility		$1,655.71	$2,367.67	$3,559.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.83 / $2,393.61 / $3,959.52	Professional		$1,991.83	$2,393.61	$3,959.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,512.42 / $2,353.42 / $2,490.84	Facility		$1,512.42	$2,353.42	$2,490.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,655.71 / $2,582.08 / $3,559.78	Facility		$1,655.71	$2,582.08	$3,559.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,124.65 / $2,856.44 / $3,764.76	Professional		$2,124.65	$2,856.44	$3,764.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,278.07 / $2,996.91 / $3,947.72	Professional		$2,278.07	$2,996.91	$3,947.72
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 $1,855.89 / $2,547.30 / $3,904.01	Professional		$1,855.89	$2,547.30	$3,904.01