Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $9,549.93 / $17,378.01	Facility		$1,258.93	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,258.93	Professional		$707.95	$851.14	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,511.89	Professional		$977.24	$1,621.81	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,137.96	Professional		$1,380.38	$1,778.28	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,691.53	Facility		$812.83	$1,318.26	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,819.70	Professional		$707.95	$1,000.00	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,819.70	Facility		$1,288.25	$1,778.28	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,819.70	Facility		$794.33	$1,258.93	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $2,344.23	Professional		$79.43	$1,122.02	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $13,489.63	Facility		$8,317.64	$11,220.18	$13,489.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,754.23	Professional		$1,348.96	$1,862.09	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,511.89	Professional		$1,023.29	$1,698.24	$2,511.89