Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.44 / $12,274.80 / $21,735.00	Facility		$1,528.44	$12,274.80	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.71 / $1,040.30 / $3,409.96	Professional		$582.71	$1,040.30	$3,409.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.33 / $1,510.57 / $2,008.06	Professional		$846.33	$1,510.57	$2,008.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.56 / $1,557.02 / $1,783.71	Professional		$1,083.56	$1,557.02	$1,783.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.12 / $1,331.79 / $2,236.65	Facility		$730.12	$1,331.79	$2,236.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $975.12 / $1,115.52 / $2,131.48	Professional		$975.12	$1,115.52	$2,131.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $807.12 / $1,185.90 / $1,368.14	Facility		$807.12	$1,185.90	$1,368.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.30 / $1,543.60 / $9,325.04	Facility		$1,040.30	$1,543.60	$9,325.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.84 / $1,595.88 / $2,008.06	Professional		$1,092.84	$1,595.88	$2,008.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,263.27 / $1,675.46 / $2,142.06	Professional		$1,263.27	$1,675.46	$2,142.06
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 $979.01 / $1,489.21 / $2,164.91	Professional		$979.01	$1,489.21	$2,164.91