Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.69 / $4,962.67 / $15,341.00	Facility		$1,500.69	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.52 / $1,022.17 / $2,361.21	Professional		$669.52	$1,022.17	$2,361.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.65 / $1,446.90 / $2,184.09	Professional		$894.65	$1,446.90	$2,184.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,389.79 / $1,627.90 / $1,953.01	Professional		$1,389.79	$1,627.90	$1,953.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $995.80 / $1,355.32 / $1,819.00	Facility		$995.80	$1,355.32	$1,819.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.21 / $1,304.80 / $1,957.20	Professional		$1,158.21	$1,304.80	$1,957.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,048.59 / $1,436.42 / $1,488.07	Facility		$1,048.59	$1,436.42	$1,488.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.40 / $1,491.70 / $2,919.00	Facility		$999.40	$1,491.70	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,309.00 / $1,521.30 / $2,050.36	Professional		$1,309.00	$1,521.30	$2,050.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,364.75 / $1,733.49 / $2,329.83	Professional		$1,364.75	$1,733.49	$2,329.83
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 $1,038.23 / $1,504.31 / $2,317.50	Professional		$1,038.23	$1,504.31	$2,317.50