Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,858.41 / $5,649.00 / $15,341.00	Facility		$1,858.41	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.18 / $1,254.43 / $4,319.00	Professional		$772.18	$1,254.43	$4,319.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.70 / $1,823.25 / $2,467.30	Professional		$1,124.70	$1,823.25	$2,467.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,339.39 / $1,926.82 / $2,182.05	Professional		$1,339.39	$1,926.82	$2,182.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,242.36 / $1,776.59 / $2,697.02	Facility		$1,242.36	$1,776.59	$2,697.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.51 / $1,424.40 / $2,664.08	Professional		$1,275.51	$1,424.40	$2,664.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,150.20 / $1,564.14 / $1,681.03	Facility		$1,150.20	$1,564.14	$1,681.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,254.43 / $2,021.76 / $3,274.00	Facility		$1,254.43	$2,021.76	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.76 / $1,950.16 / $2,470.81	Professional		$1,434.76	$1,950.16	$2,470.81
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 $1,540.65 / $2,058.63 / $2,631.94	Professional		$1,540.65	$2,058.63	$2,631.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,197.98 / $1,734.73 / $2,640.26	Professional		$1,197.98	$1,734.73	$2,640.26