Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.33 / $11,377.08 / $42,921.00	Facility		$2,033.33	$11,377.08	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,515.12 / $3,392.38	Professional		$992.36	$1,515.12	$3,392.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $5,022.74	Facility		$2,341.30	$2,341.30	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.52 / $2,095.71 / $3,051.99	Professional		$1,031.52	$2,095.71	$3,051.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,724.69 / $2,264.67 / $2,805.31	Professional		$1,724.69	$2,264.67	$2,805.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.33 / $1,983.74 / $3,144.26	Facility		$1,167.33	$1,983.74	$3,144.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.75 / $1,912.70 / $3,173.91	Professional		$1,590.75	$1,912.70	$3,173.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,456.89 / $2,014.69 / $2,173.28	Facility		$1,456.89	$2,014.69	$2,173.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,298.21 / $2,219.88 / $3,722.65	Facility		$1,298.21	$2,219.88	$3,722.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,838.82 / $2,334.40 / $3,063.75	Professional		$1,838.82	$2,334.40	$3,063.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,983.47 / $2,521.80 / $3,097.21	Professional		$1,983.47	$2,521.80	$3,097.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,585.00 / $2,219.00 / $3,341.09	Professional		$1,585.00	$2,219.00	$3,341.09