Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $10,180.24 / $42,921.00	Facility		$2,528.00	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.35 / $1,219.07 / $1,395.28	Professional		$970.35	$1,219.07	$1,395.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,959.70 / $2,330.94 / $2,886.32	Professional		$1,959.70	$2,330.94	$2,886.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.83 / $1,255.64 / $1,866.82	Facility		$1,139.83	$1,255.64	$1,866.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,353.94 / $1,753.41 / $2,256.56	Facility		$1,353.94	$1,753.41	$2,256.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,158.11 / $1,219.07 / $1,865.82	Facility		$1,158.11	$1,219.07	$1,865.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.56 / $1,435.56 / $2,310.44	Professional		$1,435.56	$1,435.56	$2,310.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,457.32 / $39,875.19 / $51,188.76	Facility		$19,457.32	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,716.01 / $2,564.04 / $3,377.52	Professional		$1,716.01	$2,564.04	$3,377.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.73 / $2,314.10 / $4,095.99	Professional		$1,616.73	$2,314.10	$4,095.99