Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.47 / $7,920.26 / $20,400.00	Facility		$1,700.47	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,089.02 / $2,422.75	Professional		$707.95	$1,089.02	$2,422.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.56 / $1,502.44 / $2,193.55	Professional		$886.56	$1,502.44	$2,193.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.00 / $1,681.63 / $2,017.48	Professional		$1,428.00	$1,681.63	$2,017.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $864.67 / $1,472.46 / $2,056.73	Facility		$864.67	$1,472.46	$2,056.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.34 / $1,364.48 / $2,003.48	Professional		$1,224.34	$1,364.48	$2,003.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,086.33 / $1,427.10 / $1,630.11	Facility		$1,086.33	$1,427.10	$1,630.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.73 / $1,557.30 / $7,090.00	Facility		$983.73	$1,557.30	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.32 / $1,565.55 / $2,104.96	Professional		$1,368.32	$1,565.55	$2,104.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,407.19 / $1,783.44 / $2,396.96	Professional		$1,407.19	$1,783.44	$2,396.96
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 $1,070.52 / $1,552.60 / $2,297.00	Professional		$1,070.52	$1,552.60	$2,297.00