Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.66 / $5,649.00 / $15,341.00	Facility		$1,744.66	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.56 / $1,036.51 / $4,191.37	Professional		$801.56	$1,036.51	$4,191.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.80 / $1,716.72 / $2,334.54	Professional		$1,101.80	$1,716.72	$2,334.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.14 / $1,818.42 / $2,047.36	Professional		$1,275.14	$1,818.42	$2,047.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.51 / $1,616.44 / $2,228.50	Facility		$1,036.51	$1,616.44	$2,228.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.47 / $1,411.80 / $2,536.75	Professional		$1,171.47	$1,411.80	$2,536.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,105.14 / $1,510.18 / $1,590.58	Facility		$1,105.14	$1,510.18	$1,590.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.51 / $1,901.53 / $3,274.00	Facility		$1,036.51	$1,901.53	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,404.04 / $1,822.36 / $2,333.57	Professional		$1,404.04	$1,822.36	$2,333.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,442.86 / $1,947.87 / $2,490.33	Professional		$1,442.86	$1,947.87	$2,490.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.10 / $1,693.89 / $2,495.89	Professional		$1,194.10	$1,693.89	$2,495.89