Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.46 / $4,962.67 / $15,341.00	Facility		$1,549.46	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.66 / $1,004.13 / $2,475.02	Professional		$646.66	$1,004.13	$2,475.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.07 / $1,477.03 / $2,307.75	Professional		$872.07	$1,477.03	$2,307.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,460.72 / $1,710.98 / $2,052.67	Professional		$1,460.72	$1,710.98	$2,052.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.72 / $1,400.51 / $1,892.10	Facility		$1,038.72	$1,400.51	$1,892.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.68 / $1,353.30 / $2,082.08	Professional		$1,111.68	$1,353.30	$2,082.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,018.22 / $1,453.23 / $1,583.88	Facility		$1,018.22	$1,453.23	$1,583.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,038.72 / $1,467.68 / $2,919.00	Facility		$1,038.72	$1,467.68	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,285.68 / $1,576.43 / $2,164.03	Professional		$1,285.68	$1,576.43	$2,164.03
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 $1,440.40 / $1,845.10 / $2,479.84	Professional		$1,440.40	$1,845.10	$2,479.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.11 / $1,570.80 / $2,426.32	Professional		$1,077.11	$1,570.80	$2,426.32