Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.32 / $9,972.00 / $20,400.00	Facility		$2,066.32	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.58 / $1,227.33 / $4,970.59	Professional		$950.58	$1,227.33	$4,970.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.08 / $2,032.77 / $2,764.28	Professional		$1,308.08	$2,032.77	$2,764.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.91 / $2,148.31 / $2,418.78	Professional		$1,508.91	$2,148.31	$2,418.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,227.33 / $1,914.04 / $2,638.78	Facility		$1,227.33	$1,914.04	$2,638.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.18 / $1,691.98 / $3,003.59	Professional		$1,438.18	$1,691.98	$3,003.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,355.15 / $1,796.27 / $1,883.37	Facility		$1,355.15	$1,796.27	$1,883.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.33 / $2,076.34 / $2,531.52	Facility		$1,227.33	$2,076.34	$2,531.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,664.68 / $2,167.59 / $2,764.27	Professional		$1,664.68	$2,167.59	$2,764.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $4,990.00 / $4,990.00	Facility		$4,990.00	$4,990.00	$4,990.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,709.16 / $2,306.42 / $2,948.74	Professional		$1,709.16	$2,306.42	$2,948.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,414.52 / $2,014.78 / $2,929.08	Professional		$1,414.52	$2,014.78	$2,929.08