Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.06 / $4,962.67 / $15,341.00	Facility		$1,627.06	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $853.54 / $2,201.10	Professional		$688.12	$853.54	$2,201.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.96 / $1,565.76 / $2,394.17	Professional		$942.96	$1,565.76	$2,394.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,551.54 / $1,818.77 / $2,182.00	Professional		$1,551.54	$1,818.77	$2,182.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.72 / $1,476.84 / $1,965.20	Facility		$1,019.72	$1,476.84	$1,965.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.08 / $1,431.60 / $2,198.23	Professional		$1,228.08	$1,431.60	$2,198.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,088.52 / $1,538.32 / $1,670.31	Facility		$1,088.52	$1,538.32	$1,670.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.79 / $1,610.76 / $2,919.00	Facility		$1,069.79	$1,610.76	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.32 / $1,662.44 / $2,279.51	Professional		$1,393.32	$1,662.44	$2,279.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,517.28 / $1,945.79 / $2,615.16	Professional		$1,517.28	$1,945.79	$2,615.16
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 $1,107.68 / $1,678.09 / $2,624.65	Professional		$1,107.68	$1,678.09	$2,624.65