Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.75 / $7,920.26 / $20,400.00	Facility		$1,348.75	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.84 / $874.16 / $1,981.15	Professional		$610.84	$874.16	$1,981.15
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 $797.66 / $1,340.45 / $1,855.86	Professional		$797.66	$1,340.45	$1,855.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,179.30 / $1,382.76 / $1,657.22	Professional		$1,179.30	$1,382.76	$1,657.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $874.16 / $1,173.00 / $1,610.48	Facility		$874.16	$1,173.00	$1,610.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.53 / $1,122.00 / $1,671.60	Professional		$1,021.53	$1,122.00	$1,671.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $896.33 / $1,220.07 / $1,275.01	Facility		$896.33	$1,220.07	$1,275.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $874.16 / $1,250.05 / $2,748.00	Facility		$874.16	$1,250.05	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.20 / $1,313.00 / $1,722.82	Professional		$1,122.20	$1,313.00	$1,722.82
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 $1,114.44 / $1,460.32 / $1,932.29	Professional		$1,114.44	$1,460.32	$1,932.29
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 $875.70 / $1,274.70 / $1,882.18	Professional		$875.70	$1,274.70	$1,882.18