Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.30 / $7,920.26 / $20,400.00	Facility		$1,765.30	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $1,156.79 / $2,807.72	Professional		$776.26	$1,156.79	$2,807.72
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 $974.94 / $1,666.50 / $2,448.87	Professional		$974.94	$1,666.50	$2,448.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.17 / $1,940.19 / $2,327.67	Professional		$1,645.17	$1,940.19	$2,327.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $1,558.25 / $1,994.95	Facility		$1,125.00	$1,558.25	$1,994.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,505.74 / $2,323.13	Professional		$1,293.00	$1,505.74	$2,323.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,128.89 / $1,563.78 / $1,785.55	Facility		$1,128.89	$1,563.78	$1,785.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.79 / $1,717.39 / $5,217.00	Facility		$1,156.79	$1,717.39	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,450.44 / $1,780.89 / $2,448.87	Professional		$1,450.44	$1,780.89	$2,448.87
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 $1,556.28 / $2,080.03 / $2,795.59	Professional		$1,556.28	$2,080.03	$2,795.59
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 $1,173.59 / $1,684.60 / $2,636.69	Professional		$1,173.59	$1,684.60	$2,636.69