Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $15,848.93	Facility		$3,019.95	$3,890.45	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $4,168.69	Professional		$1,380.38	$1,698.24	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,168.69	Professional		$1,584.89	$2,691.53	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,630.78	Professional		$2,187.76	$2,884.03	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,715.35	Facility		$1,513.56	$2,344.23	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,890.45	Professional		$2,238.72	$2,691.53	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,019.95	Facility		$2,238.72	$2,884.03	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,235.94	Facility		$1,513.56	$2,344.23	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,884.03 / $4,073.80	Professional		$79.43	$2,884.03	$4,073.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $21,877.62	Facility		$5,623.41	$13,489.63	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $4,265.80	Professional		$2,691.53	$3,090.30	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $4,168.69	Professional		$1,905.46	$2,884.03	$4,168.69