Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.60 / $8,372.85 / $14,913.40	Facility		$1,083.60	$8,372.85	$14,913.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $3,353.79 / $11,414.16	Professional		$656.16	$3,353.79	$11,414.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.60 / $6,106.90 / $17,928.21	Professional		$1,035.60	$6,106.90	$17,928.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.04 / $1,786.65 / $15,625.31	Professional		$1,216.04	$1,786.65	$15,625.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $880.99 / $5,898.85 / $17,313.50	Facility		$880.99	$5,898.85	$17,313.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.53 / $9,888.19 / $19,656.52	Professional		$1,029.53	$9,888.19	$19,656.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,307.83 / $12,218.42 / $13,451.59	Facility		$1,307.83	$12,218.42	$13,451.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.99 / $10,389.14 / $17,313.50	Facility		$880.99	$10,389.14	$17,313.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,235.18 / $8,455.87 / $19,548.97	Professional		$1,235.18	$8,455.87	$19,548.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,247.54 / $2,220.29 / $18,879.88	Professional		$1,247.54	$2,220.29	$18,879.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $10,440.04 / $14,053.92 / $21,199.24	Professional		$10,440.04	$14,053.92	$21,199.24