Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.96 / $8,952.00 / $32,689.00	Facility		$1,320.96	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.67 / $904.76 / $2,889.34	Professional		$539.67	$904.76	$2,889.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $4,375.60	Facility		$2,901.32	$2,901.32	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $1,142.26 / $1,687.65	Professional		$612.16	$1,142.26	$1,687.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.84 / $1,266.92 / $1,558.69	Professional		$964.84	$1,266.92	$1,558.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.43 / $1,087.48 / $1,654.05	Facility		$659.43	$1,087.48	$1,654.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.60 / $1,072.20 / $1,802.58	Professional		$905.60	$1,072.20	$1,802.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $826.14 / $1,149.72 / $1,229.45	Facility		$826.14	$1,149.72	$1,229.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.59 / $1,217.77 / $2,114.23	Facility		$735.59	$1,217.77	$2,114.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.18 / $1,318.05 / $1,716.63	Professional		$1,004.18	$1,318.05	$1,716.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,121.20 / $1,432.22 / $1,803.53	Professional		$1,121.20	$1,432.22	$1,803.53
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 $881.50 / $1,234.09 / $1,921.43	Professional		$881.50	$1,234.09	$1,921.43