Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.94 / $5,649.00 / $15,341.00	Facility		$1,588.94	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.64 / $1,101.65 / $3,778.23	Professional		$654.64	$1,101.65	$3,778.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.56 / $1,599.66 / $2,093.61	Professional		$1,001.56	$1,599.66	$2,093.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.91 / $1,634.48 / $1,861.16	Professional		$1,133.91	$1,634.48	$1,861.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.65 / $1,486.73 / $2,368.55	Facility		$776.65	$1,486.73	$2,368.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.55 / $1,242.00 / $2,249.26	Professional		$1,124.55	$1,242.00	$2,249.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $930.15 / $1,336.86 / $1,426.43	Facility		$930.15	$1,336.86	$1,426.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,101.65 / $1,708.78 / $2,005.78	Facility		$1,101.65	$1,708.78	$2,005.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.66 / $1,690.53 / $2,122.67	Professional		$1,249.66	$1,690.53	$2,122.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,726.79 / $6,457.51 / $13,128.34	Facility		$2,726.79	$6,457.51	$13,128.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,315.55 / $1,746.84 / $2,233.32	Professional		$1,315.55	$1,746.84	$2,233.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.08 / $1,529.30 / $2,275.69	Professional		$1,079.08	$1,529.30	$2,275.69