Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,760.92 / $9,972.00 / $20,400.00	Facility		$3,760.92	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,673.66 / $2,726.67 / $9,780.21	Professional		$1,673.66	$2,726.67	$9,780.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,546.90 / $4,099.68 / $5,522.66	Professional		$2,546.90	$4,099.68	$5,522.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,981.80 / $4,284.60 / $4,837.46	Professional		$2,981.80	$4,284.60	$4,837.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $4,019.91 / $5,862.34	Facility		$2,645.00	$4,019.91	$5,862.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.58 / $3,231.00 / $5,939.29	Professional		$2,885.58	$3,231.00	$5,939.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,609.03 / $3,551.41 / $3,762.72	Facility		$2,609.03	$3,551.41	$3,762.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,726.67 / $4,469.50 / $5,862.34	Facility		$2,726.67	$4,469.50	$5,862.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,245.56 / $4,376.82 / $5,552.09	Professional		$3,245.56	$4,376.82	$5,552.09
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 $3,455.85 / $4,607.93 / $5,891.18	Professional		$3,455.85	$4,607.93	$5,891.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,882.52 / $4,703.41 / $5,978.04	Professional		$2,882.52	$4,703.41	$5,978.04