Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.04 / $10,347.48 / $20,400.00	Facility		$969.04	$10,347.48	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $642.51 / $787.84	Professional		$580.66	$642.51	$787.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.11 / $1,207.90 / $1,648.14	Professional		$774.11	$1,207.90	$1,648.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $1,284.08 / $1,445.70	Professional		$1,028.82	$1,284.08	$1,445.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $787.84 / $1,126.60 / $1,524.04	Facility		$787.84	$1,126.60	$1,524.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.31 / $1,156.31 / $2,122.58	Professional		$1,156.31	$1,156.31	$2,122.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $473.59 / $712.17 / $728.99	Facility		$473.59	$712.17	$728.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.84 / $1,352.07 / $7,875.00	Facility		$787.84	$1,352.07	$7,875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $769.50 / $1,260.50 / $1,648.14	Professional		$769.50	$1,260.50	$1,648.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,017.88 / $1,375.16 / $1,758.12	Professional		$1,017.88	$1,375.16	$1,758.12
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 $1,093.10 / $1,868.22 / $2,434.83	Professional		$1,093.10	$1,868.22	$2,434.83