Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,161.80 / $12,274.80 / $21,735.00	Facility		$3,161.80	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.03 / $2,324.94 / $8,072.83	Professional		$1,467.03	$2,324.94	$8,072.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,084.88 / $3,495.67 / $4,615.00	Professional		$2,084.88	$3,495.67	$4,615.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,504.23 / $3,611.85 / $4,118.58	Professional		$2,504.23	$3,611.85	$4,118.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.14 / $3,280.05 / $4,998.64	Facility		$1,816.14	$3,280.05	$4,998.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,369.96 / $2,648.61 / $4,964.25	Professional		$2,369.96	$2,648.61	$4,964.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,963.55 / $2,880.04 / $3,144.31	Facility		$1,963.55	$2,880.04	$3,144.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,324.94 / $3,772.49 / $9,325.04	Facility		$2,324.94	$3,772.49	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,657.82 / $3,703.20 / $4,686.26	Professional		$2,657.82	$3,703.20	$4,686.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,901.71 / $3,850.61 / $4,922.96	Professional		$2,901.71	$3,850.61	$4,922.96
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 $2,303.91 / $3,290.07 / $5,019.47	Professional		$2,303.91	$3,290.07	$5,019.47