Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,127.26 / $10,180.24 / $42,921.00	Facility		$2,127.26	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.63 / $1,355.86 / $3,611.88	Professional		$882.63	$1,355.86	$3,611.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,400.80	Facility		$2,341.30	$2,341.30	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.87 / $1,872.24 / $2,736.99	Professional		$912.87	$1,872.24	$2,736.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,543.99 / $2,027.40 / $2,509.55	Professional		$1,543.99	$2,027.40	$2,509.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.39 / $1,761.12 / $2,466.48	Facility		$1,045.39	$1,761.12	$2,466.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.80 / $1,672.80 / $2,843.82	Professional		$1,426.80	$1,672.80	$2,843.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.28 / $1,766.12 / $1,939.65	Facility		$1,236.28	$1,766.12	$1,939.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,159.92 / $2,022.52 / $3,335.51	Facility		$1,159.92	$2,022.52	$3,335.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,605.27 / $2,081.89 / $2,736.99	Professional		$1,605.27	$2,081.89	$2,736.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $10,185.20 / $12,751.18	Facility		$7,382.73	$10,185.20	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,776.82 / $2,259.55 / $2,737.33	Professional		$1,776.82	$2,259.55	$2,737.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.33 / $1,922.36 / $3,015.32	Professional		$1,307.33	$1,922.36	$3,015.32