Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.96 / $5,116.62 / $20,400.00	Facility		$2,342.96	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.11 / $1,135.33 / $3,557.61	Professional		$927.11	$1,135.33	$3,557.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.52 / $2,185.42 / $4,172.10	Professional		$1,587.52	$2,185.42	$4,172.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,230.46 / $2,757.67 / $3,293.12	Professional		$2,230.46	$2,757.67	$3,293.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,311.78 / $1,656.62 / $3,091.23	Facility		$1,311.78	$1,656.62	$3,091.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,351.02 / $2,579.00 / $4,673.54	Professional		$2,351.02	$2,579.00	$4,673.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,766.39 / $2,540.44 / $2,943.98	Facility		$1,766.39	$2,540.44	$2,943.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,311.78 / $1,958.95 / $2,706.45	Facility		$1,311.78	$1,958.95	$2,706.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,935.56 / $2,100.78 / $3,460.88	Professional		$1,935.56	$2,100.78	$3,460.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,939.81 / $2,551.90 / $3,634.04	Professional		$1,939.81	$2,551.90	$3,634.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,559.67 / $2,068.94 / $3,355.53	Professional		$1,559.67	$2,068.94	$3,355.53