Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.55 / $1,523.99 / $6,884.75	Professional		$1,314.55	$1,523.99	$6,884.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.72 / $2,872.90 / $3,876.48	Professional		$1,760.72	$2,872.90	$3,876.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.46 / $2,958.60 / $3,331.08	Professional		$2,077.46	$2,958.60	$3,331.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,523.99 / $2,539.73 / $3,660.75	Facility		$1,523.99	$2,539.73	$3,660.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.81 / $2,289.30 / $4,172.78	Professional		$2,004.81	$2,289.30	$4,172.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,800.89 / $2,483.00 / $2,641.14	Facility		$1,800.89	$2,483.00	$2,641.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,523.99 / $2,893.36 / $3,372.33	Facility		$1,523.99	$2,893.36	$3,372.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,243.71 / $3,088.47 / $3,893.24	Professional		$2,243.71	$3,088.47	$3,893.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,418.30 / $3,234.41 / $4,135.16	Professional		$2,418.30	$3,234.41	$4,135.16
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 $2,025.13 / $2,870.73 / $4,183.24	Professional		$2,025.13	$2,870.73	$4,183.24