Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.97 / $8,952.00 / $32,689.00	Facility		$1,596.97	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.22 / $1,002.91 / $2,651.40	Professional		$657.22	$1,002.91	$2,651.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,901.32	Facility		$2,059.63	$2,059.63	$2,901.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.03 / $1,375.92 / $2,043.39	Professional		$739.03	$1,375.92	$2,043.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.39 / $1,528.95 / $1,878.66	Professional		$1,164.39	$1,528.95	$1,878.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.19 / $1,312.58 / $1,994.67	Facility		$800.19	$1,312.58	$1,994.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.61 / $1,290.15 / $2,178.81	Professional		$1,102.61	$1,290.15	$2,178.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $1,341.61 / $1,486.06	Facility		$951.00	$1,341.61	$1,486.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.84 / $1,484.93 / $2,555.50	Facility		$890.84	$1,484.93	$2,555.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,221.63 / $1,596.57 / $2,080.80	Professional		$1,221.63	$1,596.57	$2,080.80
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 $1,356.14 / $1,731.15 / $2,089.23	Professional		$1,356.14	$1,731.15	$2,089.23
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 $1,054.25 / $1,474.52 / $2,284.37	Professional		$1,054.25	$1,474.52	$2,284.37