Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.74 / $2,080.90 / $13,320.00	Facility		$1,121.74	$2,080.90	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $757.62 / $2,027.99	Professional		$469.97	$757.62	$2,027.99
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 $724.34 / $1,296.28 / $2,245.21	Professional		$724.34	$1,296.28	$2,245.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.38 / $1,341.18 / $2,027.18	Professional		$1,067.38	$1,341.18	$2,027.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.51 / $1,195.08 / $1,789.30	Facility		$705.51	$1,195.08	$1,789.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $827.66 / $1,202.81 / $1,884.39	Professional		$827.66	$1,202.81	$1,884.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.09 / $1,399.35 / $1,680.36	Facility		$956.09	$1,399.35	$1,680.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.51 / $1,237.04 / $2,129.80	Facility		$705.51	$1,237.04	$2,129.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.08 / $317.08 / $317.08	Facility	80	$317.08	$317.08	$317.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $269.52 / $269.52 / $269.52	Facility	AS	$269.52	$269.52	$269.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $934.83 / $1,374.78 / $2,169.42	Professional		$934.83	$1,374.78	$2,169.42
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 $958.96 / $1,526.51 / $2,349.06	Professional		$958.96	$1,526.51	$2,349.06
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 $1,093.65 / $1,628.77 / $2,616.03	Professional		$1,093.65	$1,628.77	$2,616.03