Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.52 / $9,338.46 / $20,400.00	Facility		$1,254.52	$9,338.46	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.64 / $654.83 / $2,895.22	Professional		$550.64	$654.83	$2,895.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.13 / $1,241.76 / $1,680.60	Professional		$730.13	$1,241.76	$1,680.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.55 / $1,294.33 / $1,457.28	Professional		$901.55	$1,294.33	$1,457.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $654.83 / $1,091.27 / $1,440.23	Facility		$654.83	$1,091.27	$1,440.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $825.32 / $962.87 / $1,804.69	Professional		$825.32	$962.87	$1,804.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $738.86 / $1,015.72 / $1,145.03	Facility		$738.86	$1,015.72	$1,145.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.83 / $1,223.08 / $1,460.49	Facility		$654.83	$1,223.08	$1,460.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.93 / $1,315.86 / $1,680.60	Professional		$951.93	$1,315.86	$1,680.60
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 $1,046.78 / $1,402.23 / $1,792.74	Professional		$1,046.78	$1,402.23	$1,792.74
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 $824.20 / $1,148.36 / $1,810.76	Professional		$824.20	$1,148.36	$1,810.76