Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.03 / $5,116.62 / $20,400.00	Facility		$1,608.03	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.31 / $1,138.90 / $2,545.17	Professional		$805.31	$1,138.90	$2,545.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.29 / $1,720.81 / $2,482.88	Professional		$1,038.29	$1,720.81	$2,482.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,509.85 / $1,776.31 / $2,121.71	Professional		$1,509.85	$1,776.31	$2,121.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.90 / $1,566.12 / $2,361.30	Facility		$1,138.90	$1,566.12	$2,361.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.94 / $1,552.66 / $2,135.35	Professional		$1,304.94	$1,552.66	$2,135.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,314.45 / $1,598.57 / $1,894.09	Facility		$1,314.45	$1,598.57	$1,894.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.90 / $1,695.78 / $5,949.00	Facility		$1,138.90	$1,695.78	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,473.57 / $1,747.25 / $2,276.56	Professional		$1,473.57	$1,747.25	$2,276.56
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 $1,459.47 / $1,867.74 / $2,510.26	Professional		$1,459.47	$1,867.74	$2,510.26
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 $1,205.00 / $1,759.30 / $2,501.13	Professional		$1,205.00	$1,759.30	$2,501.13