Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.58 / $7,920.26 / $20,400.00	Facility		$1,564.58	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $1,009.24 / $3,751.88	Professional		$739.35	$1,009.24	$3,751.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.13 / $1,539.28 / $2,095.58	Professional		$986.13	$1,539.28	$2,095.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.85 / $1,635.38 / $1,841.27	Professional		$1,144.85	$1,635.38	$1,841.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,009.24 / $1,502.08 / $2,169.87	Facility		$1,009.24	$1,502.08	$2,169.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.24 / $1,252.68 / $2,276.84	Professional		$1,041.24	$1,252.68	$2,276.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $994.68 / $1,351.27 / $1,427.77	Facility		$994.68	$1,351.27	$1,427.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,009.24 / $1,712.29 / $5,626.00	Facility		$1,009.24	$1,712.29	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.65 / $1,640.09 / $2,092.85	Professional		$1,256.65	$1,640.09	$2,092.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,294.02 / $1,748.49 / $2,235.42	Professional		$1,294.02	$1,748.49	$2,235.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.61 / $1,505.99 / $2,238.44	Professional		$1,088.61	$1,505.99	$2,238.44