Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.76 / $10,180.24 / $42,921.00	Facility		$1,281.76	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $734.55 / $1,836.19	Professional		$481.25	$734.55	$1,836.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $5,022.74	Facility		$2,341.30	$2,341.30	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.54 / $1,132.89 / $1,650.37	Professional		$544.54	$1,132.89	$1,650.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.72 / $1,224.75 / $1,526.24	Professional		$932.72	$1,224.75	$1,526.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.87 / $1,034.83 / $1,507.68	Facility		$630.87	$1,034.83	$1,507.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $999.42 / $1,713.18	Professional		$822.60	$999.42	$1,713.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $740.32 / $1,023.76 / $1,168.48	Facility		$740.32	$1,023.76	$1,168.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.43 / $1,148.89 / $2,009.37	Facility		$705.43	$1,148.89	$2,009.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $1,244.83 / $1,650.37	Professional		$948.75	$1,244.83	$1,650.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,068.30 / $1,361.19 / $1,645.81	Professional		$1,068.30	$1,361.19	$1,645.81
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 $809.03 / $1,138.33 / $1,812.95	Professional		$809.03	$1,138.33	$1,812.95