Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $9,338.46 / $20,400.00	Facility		$1,758.00	$9,338.46	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.47 / $1,483.30 / $3,899.00	Professional		$928.47	$1,483.30	$3,899.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.53 / $2,086.91 / $2,838.03	Professional		$1,340.53	$2,086.91	$2,838.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.72 / $2,206.26 / $2,484.03	Professional		$1,548.72	$2,206.26	$2,484.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,368.31 / $2,051.75 / $2,941.87	Facility		$1,368.31	$2,051.75	$2,941.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.46 / $1,780.35 / $3,082.12	Professional		$1,550.46	$1,780.35	$3,082.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.11 / $1,840.49 / $1,933.62	Facility		$1,348.11	$1,840.49	$1,933.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,368.31 / $2,327.32 / $5,626.00	Facility		$1,368.31	$2,327.32	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,708.27 / $2,220.94 / $2,835.89	Professional		$1,708.27	$2,220.94	$2,835.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,753.45 / $2,367.96 / $3,027.41	Professional		$1,753.45	$2,367.96	$3,027.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.93 / $2,114.32 / $3,033.16	Professional		$1,453.93	$2,114.32	$3,033.16