Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,332.06 / $4,962.67 / $15,341.00	Facility		$2,332.06	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.83 / $1,576.01 / $3,687.91	Professional		$1,084.83	$1,576.01	$3,687.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.17 / $2,267.05 / $3,475.26	Professional		$1,406.17	$2,267.05	$3,475.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,160.27 / $2,538.69 / $3,035.73	Professional		$2,160.27	$2,538.69	$3,035.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.72 / $2,152.80 / $2,798.76	Facility		$1,452.72	$2,152.80	$2,798.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,881.00 / $2,064.80 / $3,109.16	Professional		$1,881.00	$2,064.80	$3,109.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,600.34 / $2,166.29 / $2,367.78	Facility		$1,600.34	$2,166.29	$2,367.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.04 / $2,253.69 / $3,388.42	Facility		$1,548.04	$2,253.69	$3,388.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,022.90 / $2,385.57 / $3,247.60	Professional		$2,022.90	$2,385.57	$3,247.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,565.08 / $14,391.80	Facility		$4,846.16	$6,565.08	$14,391.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,159.37 / $2,758.29 / $3,707.17	Professional		$2,159.37	$2,758.29	$3,707.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,667.47 / $2,314.04 / $3,637.40	Professional		$1,667.47	$2,314.04	$3,637.40