Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.30 / $10,180.24 / $42,921.00	Facility		$1,662.30	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $858.92 / $2,908.88	Professional		$678.17	$858.92	$2,908.88
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 $728.44 / $1,446.54 / $2,026.73	Professional		$728.44	$1,446.54	$2,026.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.38 / $1,577.29 / $1,977.65	Professional		$1,201.38	$1,577.29	$1,977.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.52 / $1,378.39 / $2,093.71	Facility		$781.52	$1,378.39	$2,093.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.54 / $1,308.16 / $2,197.46	Professional		$1,149.54	$1,308.16	$2,197.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.85 / $1,386.90 / $1,498.79	Facility		$1,000.85	$1,386.90	$1,498.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.92 / $1,584.24 / $2,577.39	Facility		$825.92	$1,584.24	$2,577.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.32 / $1,605.91 / $2,057.12	Professional		$1,240.32	$1,605.91	$2,057.12
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 $1,375.21 / $1,745.98 / $2,171.23	Professional		$1,375.21	$1,745.98	$2,171.23
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 $1,055.69 / $1,495.56 / $2,333.78	Professional		$1,055.69	$1,495.56	$2,333.78