Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.22 / $7,920.26 / $20,400.00	Facility		$1,400.22	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.10 / $912.23 / $1,983.54	Professional		$581.10	$912.23	$1,983.54
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 $795.21 / $1,251.04 / $1,843.84	Professional		$795.21	$1,251.04	$1,843.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.42 / $1,388.51 / $1,665.81	Professional		$1,185.42	$1,388.51	$1,665.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.23 / $1,220.40 / $1,661.75	Facility		$912.23	$1,220.40	$1,661.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.43 / $1,131.00 / $1,674.22	Professional		$1,016.43	$1,131.00	$1,674.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $944.78 / $1,236.15 / $1,306.50	Facility		$944.78	$1,236.15	$1,306.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.23 / $1,226.94 / $1,661.75	Facility		$912.23	$1,226.94	$1,661.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,145.32 / $1,315.06 / $1,765.30	Professional		$1,145.32	$1,315.06	$1,765.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,457.51 / $16,248.62 / $21,922.68	Facility		$6,457.51	$16,248.62	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,159.33 / $1,463.44 / $1,966.88	Professional		$1,159.33	$1,463.44	$1,966.88
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 $922.50 / $1,321.01 / $1,986.78	Professional		$922.50	$1,321.01	$1,986.78