Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.87 / $2,747.00 / $7,920.26	Facility		$1,542.87	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.67 / $1,076.24 / $2,458.08	Professional		$698.67	$1,076.24	$2,458.08
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 $918.87 / $1,492.31 / $2,295.41	Professional		$918.87	$1,492.31	$2,295.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.91 / $1,697.15 / $2,036.09	Professional		$1,448.91	$1,697.15	$2,036.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.72 / $1,411.12 / $1,864.90	Facility		$1,023.72	$1,411.12	$1,864.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.50 / $1,372.23 / $2,069.85	Professional		$1,197.50	$1,372.23	$2,069.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,057.66 / $1,462.61 / $1,573.83	Facility		$1,057.66	$1,462.61	$1,573.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,019.05 / $1,411.12 / $1,998.51	Facility		$1,019.05	$1,411.12	$1,998.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $1,570.25 / $2,155.55	Professional		$1,335.00	$1,570.25	$2,155.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,432.40 / $1,833.39 / $2,464.10	Professional		$1,432.40	$1,833.39	$2,464.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $1,587.56 / $2,477.81	Professional		$1,113.33	$1,587.56	$2,477.81