Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.94 / $1,140.65 / $2,788.96	Professional		$764.94	$1,140.65	$2,788.96
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 $964.86 / $1,656.68 / $2,433.85	Professional		$964.86	$1,656.68	$2,433.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,635.19 / $1,928.75 / $2,313.94	Professional		$1,635.19	$1,928.75	$2,313.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.98 / $1,532.70 / $2,006.00	Facility		$1,098.98	$1,532.70	$2,006.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.40 / $1,496.67 / $2,309.15	Professional		$1,283.40	$1,496.67	$2,309.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.07 / $1,557.75 / $1,773.49	Facility		$1,123.07	$1,557.75	$1,773.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.65 / $1,692.79 / $5,217.00	Facility		$1,140.65	$1,692.79	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.48 / $1,769.54 / $2,433.85	Professional		$1,435.48	$1,769.54	$2,433.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $10,171.54 / $12,117.15	Facility		$6,364.17	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,544.49 / $2,065.98 / $2,776.70	Professional		$1,544.49	$2,065.98	$2,776.70
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 $1,154.27 / $1,675.91 / $2,617.26	Professional		$1,154.27	$1,675.91	$2,617.26