Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,062.17 / $12,274.80 / $21,735.00	Facility		$2,062.17	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.04 / $1,367.92 / $4,813.22	Professional		$820.04	$1,367.92	$4,813.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.64 / $2,056.73 / $2,725.93	Professional		$1,248.64	$2,056.73	$2,725.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,469.79 / $2,117.34 / $2,406.35	Professional		$1,469.79	$2,117.34	$2,406.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.56 / $1,966.71 / $2,941.03	Facility		$1,211.56	$1,966.71	$2,941.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.96 / $1,557.24 / $2,918.71	Professional		$1,425.96	$1,557.24	$2,918.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,270.35 / $1,729.86 / $1,860.48	Facility		$1,270.35	$1,729.86	$1,860.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,367.92 / $2,246.94 / $9,325.04	Facility		$1,367.92	$2,246.94	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,591.17 / $2,182.44 / $2,748.11	Professional		$1,591.17	$2,182.44	$2,748.11
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 $1,707.94 / $2,274.42 / $2,907.83	Professional		$1,707.94	$2,274.42	$2,907.83
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 $1,379.06 / $2,137.21 / $2,954.45	Professional		$1,379.06	$2,137.21	$2,954.45