Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.71 / $4,962.67 / $15,341.00	Facility		$1,581.71	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.64 / $875.37 / $2,280.58	Professional		$554.64	$875.37	$2,280.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.20 / $1,552.28 / $2,395.19	Professional		$1,000.20	$1,552.28	$2,395.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.09 / $1,655.88 / $2,038.01	Professional		$1,157.09	$1,655.88	$2,038.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.75 / $1,228.93 / $2,051.76	Facility		$878.75	$1,228.93	$2,051.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.04 / $1,404.22 / $2,313.96	Professional		$1,164.04	$1,404.22	$2,313.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.54 / $1,541.87 / $1,751.38	Facility		$1,023.54	$1,541.87	$1,751.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.75 / $1,290.38 / $2,233.63	Facility		$878.75	$1,290.38	$2,233.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,242.11 / $1,631.32 / $2,215.37	Professional		$1,242.11	$1,631.32	$2,215.37
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 $1,389.32 / $1,769.82 / $2,472.62	Professional		$1,389.32	$1,769.82	$2,472.62
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 $1,139.88 / $1,619.39 / $2,573.66	Professional		$1,139.88	$1,619.39	$2,573.66