Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.55 / $7,920.26 / $20,400.00	Facility		$1,477.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.65 / $750.33 / $1,803.08	Professional		$561.65	$750.33	$1,803.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.16 / $1,455.95 / $2,310.65	Professional		$976.16	$1,455.95	$2,310.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,082.45 / $1,559.84 / $1,964.92	Professional		$1,082.45	$1,559.84	$1,964.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $862.52 / $1,189.58 / $1,993.66	Facility		$862.52	$1,189.58	$1,993.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.74 / $1,351.91 / $2,162.23	Professional		$1,112.74	$1,351.91	$2,162.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $961.99 / $1,470.90 / $1,696.44	Facility		$961.99	$1,470.90	$1,696.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $862.52 / $1,316.31 / $5,370.75	Facility		$862.52	$1,316.31	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,573.03 / $2,142.07	Professional		$1,206.58	$1,573.03	$2,142.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,297.39 / $1,692.40 / $2,380.12	Professional		$1,297.39	$1,692.40	$2,380.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.70 / $1,559.00 / $2,473.39	Professional		$1,124.70	$1,559.00	$2,473.39