Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,759.12 / $7,920.26 / $20,400.00	Facility		$1,759.12	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.87 / $748.76 / $2,013.43	Professional		$593.87	$748.76	$2,013.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.92 / $1,477.70 / $2,331.42	Professional		$950.92	$1,477.70	$2,331.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,285.92 / $1,589.86 / $1,926.89	Professional		$1,285.92	$1,589.86	$1,926.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.64 / $1,131.42 / $2,089.08	Facility		$896.64	$1,131.42	$2,089.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.96 / $1,372.14 / $2,426.67	Professional		$1,224.96	$1,372.14	$2,426.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,031.47 / $1,463.95 / $1,608.00	Facility		$1,031.47	$1,463.95	$1,608.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.87 / $1,498.08 / $5,852.00	Facility		$938.87	$1,498.08	$5,852.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,261.92 / $1,540.79 / $2,196.96	Professional		$1,261.92	$1,540.79	$2,196.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,468.07 / $1,691.57 / $2,544.06	Professional		$1,468.07	$1,691.57	$2,544.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.48 / $1,421.91 / $2,239.80	Professional		$1,018.48	$1,421.91	$2,239.80