Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.88 / $7,920.26 / $20,400.00	Facility		$1,692.88	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.42 / $1,062.51 / $2,420.32	Professional		$696.42	$1,062.51	$2,420.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.51 / $1,494.87 / $2,263.73	Professional		$908.51	$1,494.87	$2,263.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.18 / $1,674.04 / $2,008.36	Professional		$1,429.18	$1,674.04	$2,008.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $999.26 / $1,357.20 / $1,792.53	Facility		$999.26	$1,357.20	$1,792.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.14 / $1,343.86 / $2,027.05	Professional		$1,126.14	$1,343.86	$2,027.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $985.96 / $1,379.06 / $1,542.34	Facility		$985.96	$1,379.06	$1,542.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.26 / $1,388.18 / $1,970.20	Facility		$999.26	$1,388.18	$1,970.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,338.24 / $1,568.88 / $2,141.84	Professional		$1,338.24	$1,568.88	$2,141.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.11 / $1,796.71 / $2,414.80	Professional		$1,412.11	$1,796.71	$2,414.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.63 / $1,577.11 / $2,442.71	Professional		$1,076.63	$1,577.11	$2,442.71