Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.93 / $5,649.00 / $15,341.00	Facility		$1,739.93	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.73 / $1,033.72 / $4,179.96	Professional		$798.73	$1,033.72	$4,179.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.36 / $1,712.10 / $2,329.63	Professional		$1,098.36	$1,712.10	$2,329.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,272.41 / $1,814.50 / $2,042.95	Professional		$1,272.41	$1,814.50	$2,042.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,033.72 / $1,612.09 / $2,222.50	Facility		$1,033.72	$1,612.09	$2,222.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.45 / $1,426.75 / $2,531.46	Professional		$1,273.45	$1,426.75	$2,531.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,109.02 / $1,496.02 / $1,587.23	Facility		$1,109.02	$1,496.02	$1,587.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,033.72 / $1,907.34 / $3,274.00	Facility		$1,033.72	$1,907.34	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,399.67 / $1,816.70 / $2,326.60	Professional		$1,399.67	$1,816.70	$2,326.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48,820.22 / $62,434.18 / $75,513.42	Facility		$48,820.22	$62,434.18	$75,513.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,438.56 / $1,943.76 / $2,485.08	Professional		$1,438.56	$1,943.76	$2,485.08
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 $1,191.83 / $1,898.92 / $2,596.28	Professional		$1,191.83	$1,898.92	$2,596.28