Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.80 / $7,920.26 / $20,400.00	Facility		$1,828.80	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.54 / $1,213.80 / $2,908.07	Professional		$808.54	$1,213.80	$2,908.07
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 $1,029.65 / $1,754.86 / $2,730.62	Professional		$1,029.65	$1,754.86	$2,730.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.06 / $2,004.21 / $2,404.48	Professional		$1,711.06	$2,004.21	$2,404.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,287.20 / $1,730.52 / $2,198.67	Facility		$1,287.20	$1,730.52	$2,198.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.50 / $1,594.20 / $2,448.90	Professional		$1,360.50	$1,594.20	$2,448.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,188.16 / $1,706.70 / $1,863.27	Facility		$1,188.16	$1,706.70	$1,863.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,222.83 / $1,737.72 / $2,368.36	Facility		$1,222.83	$1,737.72	$2,368.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,533.87 / $1,861.80 / $2,553.79	Professional		$1,533.87	$1,861.80	$2,553.79
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 $1,697.48 / $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 $2,155.00 / $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 $1,221.31 / $1,831.95 / $2,859.37	Professional		$1,221.31	$1,831.95	$2,859.37