Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,027.37 / $10,180.24 / $42,921.00	Facility		$2,027.37	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.98 / $1,395.74 / $3,758.02	Professional		$887.98	$1,395.74	$3,758.02
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 $890.68 / $1,764.38 / $2,463.02	Professional		$890.68	$1,764.38	$2,463.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,464.48 / $1,923.00 / $2,405.69	Professional		$1,464.48	$1,923.00	$2,405.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.53 / $1,721.90 / $2,541.69	Facility		$993.53	$1,721.90	$2,541.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.32 / $1,620.96 / $2,678.79	Professional		$1,393.32	$1,620.96	$2,678.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,194.26 / $1,699.07 / $1,827.09	Facility		$1,194.26	$1,699.07	$1,827.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,070.73 / $1,956.66 / $3,141.96	Facility		$1,070.73	$1,956.66	$3,141.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,512.32 / $1,962.00 / $2,510.67	Professional		$1,512.32	$1,962.00	$2,510.67
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 $1,678.41 / $2,128.42 / $2,697.57	Professional		$1,678.41	$2,128.42	$2,697.57
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 $1,289.80 / $1,775.80 / $2,827.24	Professional		$1,289.80	$1,775.80	$2,827.24