Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.99 / $8,952.00 / $32,689.00	Facility		$1,734.99	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $1,033.59 / $2,295.48	Professional		$705.15	$1,033.59	$2,295.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.33 / $1,495.99 / $2,219.85	Professional		$802.33	$1,495.99	$2,219.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.19 / $1,659.99 / $2,039.81	Professional		$1,264.19	$1,659.99	$2,039.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.45 / $1,425.09 / $2,093.71	Facility		$868.45	$1,425.09	$2,093.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.14 / $1,403.35 / $2,367.42	Professional		$1,176.14	$1,403.35	$2,367.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.39 / $1,508.84 / $1,614.70	Facility		$1,097.39	$1,508.84	$1,614.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.46 / $1,591.07 / $2,093.71	Facility		$921.46	$1,591.07	$2,093.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,315.16 / $1,727.52 / $2,258.98	Professional		$1,315.16	$1,727.52	$2,258.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,473.61 / $1,881.01 / $2,332.94	Professional		$1,473.61	$1,881.01	$2,332.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,104.83 / $1,637.60 / $2,500.78	Professional		$1,104.83	$1,637.60	$2,500.78