Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.27 / $7,920.26 / $20,400.00	Facility		$1,821.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $1,192.47 / $2,461.29	Professional		$744.72	$1,192.47	$2,461.29
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 $1,011.08 / $1,716.65 / $2,532.05	Professional		$1,011.08	$1,716.65	$2,532.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,998.58 / $2,397.73	Professional		$1,696.00	$1,998.58	$2,397.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,192.47 / $1,609.99 / $2,091.85	Facility		$1,192.47	$1,609.99	$2,091.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.00 / $1,552.71 / $2,395.60	Professional		$1,341.00	$1,552.71	$2,395.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,187.99 / $1,642.84 / $1,842.50	Facility		$1,187.99	$1,642.84	$1,842.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.09 / $1,768.37 / $5,217.00	Facility		$1,235.09	$1,768.37	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,502.12 / $1,836.29 / $2,530.92	Professional		$1,502.12	$1,836.29	$2,530.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,611.96 / $2,146.38 / $2,884.75	Professional		$1,611.96	$2,146.38	$2,884.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.72 / $1,697.49 / $2,726.21	Professional		$1,238.72	$1,697.49	$2,726.21