Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.48 / $5,116.62 / $20,400.00	Facility		$1,334.48	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.08 / $1,286.67 / $2,909.18	Professional		$855.08	$1,286.67	$2,909.18
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 $1,151.20 / $1,796.48 / $2,711.07	Professional		$1,151.20	$1,796.48	$2,711.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.74 / $2,006.18 / $2,406.84	Professional		$1,712.74	$2,006.18	$2,406.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,255.50 / $1,776.89 / $2,336.44	Facility		$1,255.50	$1,776.89	$2,336.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.60 / $1,633.70 / $2,448.01	Professional		$1,473.60	$1,633.70	$2,448.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.72 / $1,745.35 / $1,863.27	Facility		$1,274.72	$1,745.35	$1,863.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.67 / $1,884.13 / $5,217.00	Facility		$1,286.67	$1,884.13	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,639.90 / $1,870.85 / $2,552.01	Professional		$1,639.90	$1,870.85	$2,552.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,697.48 / $2,170.57 / $2,917.27	Professional		$1,697.48	$2,170.57	$2,917.27
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 $1,296.05 / $1,825.05 / $2,852.37	Professional		$1,296.05	$1,825.05	$2,852.37