Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,476.38 / $8,952.00 / $32,689.00	Facility		$2,476.38	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.75 / $1,703.95 / $4,602.30	Professional		$1,129.75	$1,703.95	$4,602.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.23 / $2,379.26 / $3,494.67	Professional		$1,239.23	$2,379.26	$3,494.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,978.40 / $2,597.81 / $3,180.78	Professional		$1,978.40	$2,597.81	$3,180.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.84 / $2,234.75 / $3,432.12	Facility		$1,369.84	$2,234.75	$3,432.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.59 / $2,201.94 / $3,715.17	Professional		$1,891.59	$2,201.94	$3,715.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,735.07 / $2,382.23 / $2,533.94	Facility		$1,735.07	$2,382.23	$2,533.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,468.50 / $2,540.44 / $3,432.12	Facility		$1,468.50	$2,540.44	$3,432.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,099.17 / $2,728.18 / $3,570.56	Professional		$2,099.17	$2,728.18	$3,570.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,314.36 / $2,951.85 / $3,703.88	Professional		$2,314.36	$2,951.85	$3,703.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,540.00 / $51,981.00	Facility		$3,340.00	$25,540.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,833.51 / $2,566.91 / $3,927.55	Professional		$1,833.51	$2,566.91	$3,927.55