Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.82 / $9,972.00 / $20,400.00	Facility		$1,837.82	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.90 / $968.70 / $4,332.60	Professional		$823.90	$968.70	$4,332.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.16 / $1,823.99 / $2,464.35	Professional		$1,104.16	$1,823.99	$2,464.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,333.08 / $1,903.90 / $2,143.60	Professional		$1,333.08	$1,903.90	$2,143.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.70 / $1,614.34 / $2,249.21	Facility		$968.70	$1,614.34	$2,249.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.20 / $1,450.55 / $2,674.71	Professional		$1,234.20	$1,450.55	$2,674.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,125.01 / $1,550.43 / $1,679.02	Facility		$1,125.01	$1,550.43	$1,679.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.70 / $1,796.55 / $2,134.94	Facility		$968.70	$1,796.55	$2,134.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,425.31 / $1,932.84 / $2,471.81	Professional		$1,425.31	$1,932.84	$2,471.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,530.19 / $2,056.17 / $2,628.79	Professional		$1,530.19	$2,056.17	$2,628.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.64 / $1,772.04 / $2,646.97	Professional		$1,265.64	$1,772.04	$2,646.97