Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.73 / $7,920.26 / $20,400.00	Facility		$1,862.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $1,082.73 / $2,259.90	Professional		$679.20	$1,082.73	$2,259.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.32 / $1,581.01 / $2,316.52	Professional		$916.32	$1,581.01	$2,316.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.54 / $1,840.65 / $2,208.25	Professional		$1,558.54	$1,840.65	$2,208.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.90 / $1,496.02 / $1,900.60	Facility		$1,043.90	$1,496.02	$1,900.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.72 / $1,425.34 / $2,199.10	Professional		$1,221.72	$1,425.34	$2,199.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,050.40 / $1,476.68 / $1,690.41	Facility		$1,050.40	$1,476.68	$1,690.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,135.64 / $1,609.46 / $7,090.00	Facility		$1,135.64	$1,609.46	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.08 / $1,678.24 / $2,316.87	Professional		$1,364.08	$1,678.24	$2,316.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,465.24 / $1,969.20 / $2,646.63	Professional		$1,465.24	$1,969.20	$2,646.63
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 $1,106.56 / $1,568.09 / $2,555.00	Professional		$1,106.56	$1,568.09	$2,555.00