Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.60 / $14,614.14 / $23,856.49	Facility		$1,438.60	$14,614.14	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.30 / $928.96 / $3,456.77	Professional		$681.30	$928.96	$3,456.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.66 / $1,416.84 / $1,927.42	Professional		$911.66	$1,416.84	$1,927.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.19 / $1,500.73 / $1,689.67	Professional		$1,052.19	$1,500.73	$1,689.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $928.96 / $1,392.00 / $2,018.73	Facility		$928.96	$1,392.00	$2,018.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.03 / $1,180.08 / $2,093.30	Professional		$1,053.03	$1,180.08	$2,093.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $924.43 / $1,268.98 / $1,404.32	Facility		$924.43	$1,268.98	$1,404.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.96 / $1,588.62 / $9,999.15	Facility		$928.96	$1,588.62	$9,999.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,159.30 / $1,532.16 / $1,923.75	Professional		$1,159.30	$1,532.16	$1,923.75
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 $1,189.47 / $1,608.18 / $2,056.04	Professional		$1,189.47	$1,608.18	$2,056.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.77 / $1,569.19 / $2,057.59	Professional		$1,022.77	$1,569.19	$2,057.59