Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.96 / $12,934.70 / $23,856.49	Facility		$1,677.96	$12,934.70	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.45 / $4,861.09 / $15,692.60	Professional		$864.45	$4,861.09	$15,692.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.95 / $5,742.01 / $16,735.15	Professional		$1,306.95	$5,742.01	$16,735.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,455.48 / $5,187.58 / $13,728.12	Professional		$1,455.48	$5,187.58	$13,728.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.44 / $2,325.10 / $17,785.40	Facility		$1,081.44	$2,325.10	$17,785.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.08 / $2,441.27 / $14,923.86	Professional		$1,228.08	$2,441.27	$14,923.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.56 / $10,745.16 / $13,408.24	Facility		$1,492.56	$10,745.16	$13,408.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,081.44 / $9,557.93 / $17,785.40	Facility		$1,081.44	$9,557.93	$17,785.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.96 / $7,421.77 / $16,241.59	Professional		$1,455.96	$7,421.77	$16,241.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,740.27 / $29,241.94 / $36,485.06	Facility		$22,740.27	$29,241.94	$36,485.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,460.53 / $2,599.36 / $16,382.28	Professional		$1,460.53	$2,599.36	$16,382.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,460.00 / $51,981.00	Facility		$3,340.00	$26,460.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,127.57 / $14,323.26 / $18,394.82	Professional		$9,127.57	$14,323.26	$18,394.82