Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.44 / $7,920.26 / $20,400.00	Facility		$1,571.44	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.46 / $827.16 / $2,671.36	Professional		$703.46	$827.16	$2,671.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.56 / $1,559.74 / $2,106.40	Professional		$933.56	$1,559.74	$2,106.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,130.08 / $1,616.95 / $1,820.52	Professional		$1,130.08	$1,616.95	$1,820.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $827.16 / $1,378.46 / $1,978.93	Facility		$827.16	$1,378.46	$1,978.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.19 / $1,251.64 / $2,266.21	Professional		$1,077.19	$1,251.64	$2,266.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $869.64 / $1,312.77 / $1,440.92	Facility		$869.64	$1,312.77	$1,440.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $827.16 / $1,536.28 / $1,830.33	Facility		$827.16	$1,536.28	$1,830.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.90 / $1,676.00 / $2,113.69	Professional		$1,208.90	$1,676.00	$2,113.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,502.94 / $3,502.94 / $3,502.94	Facility		$3,502.94	$3,502.94	$3,502.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,311.86 / $1,757.51 / $2,246.96	Professional		$1,311.86	$1,757.51	$2,246.96
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 $1,083.32 / $1,651.47 / $2,269.28	Professional		$1,083.32	$1,651.47	$2,269.28