Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.33 / $9,972.00 / $42,921.00	Facility		$1,902.33	$9,972.00	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,432.74 / $3,702.66	Professional		$897.27	$1,432.74	$3,702.66
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 $931.67 / $1,933.99 / $2,766.28	Professional		$931.67	$1,933.99	$2,766.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,597.28 / $2,091.59 / $2,629.36	Professional		$1,597.28	$2,091.59	$2,629.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.73 / $1,783.88 / $2,577.42	Facility		$1,040.73	$1,783.88	$2,577.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.92 / $1,690.27 / $2,897.61	Professional		$1,372.92	$1,690.27	$2,897.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,220.84 / $1,699.83 / $1,975.16	Facility		$1,220.84	$1,699.83	$1,975.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,075.48 / $1,946.77 / $2,577.42	Facility		$1,075.48	$1,946.77	$2,577.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,606.50 / $2,120.92 / $2,749.73	Professional		$1,606.50	$2,120.92	$2,749.73
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 $1,818.02 / $2,300.91 / $2,800.81	Professional		$1,818.02	$2,300.91	$2,800.81
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 $1,355.52 / $1,904.31 / $3,062.43	Professional		$1,355.52	$1,904.31	$3,062.43