Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,595.44 / $8,878.56 / $20,400.00	Facility		$2,595.44	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.60 / $1,571.58 / $6,249.45	Professional		$1,229.60	$1,571.58	$6,249.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.17 / $2,627.21 / $3,568.68	Professional		$1,629.17	$2,627.21	$3,568.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,876.46 / $2,638.35 / $3,003.41	Professional		$1,876.46	$2,638.35	$3,003.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,571.58 / $2,450.88 / $3,560.78	Facility		$1,571.58	$2,450.88	$3,560.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,940.60 / $2,519.67 / $3,857.67	Professional		$1,940.60	$2,519.67	$3,857.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,788.75 / $2,285.87 / $2,478.33	Facility		$1,788.75	$2,285.87	$2,478.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,571.58 / $2,722.71 / $3,560.78	Facility		$1,571.58	$2,722.71	$3,560.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,090.33 / $2,831.40 / $3,721.39	Professional		$2,090.33	$2,831.40	$3,721.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,222.11 / $2,923.28 / $3,850.74	Professional		$2,222.11	$2,923.28	$3,850.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,873.05 / $2,797.95 / $3,808.09	Professional		$1,873.05	$2,797.95	$3,808.09