Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.99 / $7,920.26 / $20,400.00	Facility		$1,582.99	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $832.80 / $3,661.81	Professional		$622.14	$832.80	$3,661.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.44 / $1,570.05 / $2,120.17	Professional		$940.44	$1,570.05	$2,120.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.42 / $1,626.71 / $1,831.51	Professional		$1,137.42	$1,626.71	$1,831.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $832.80 / $1,387.86 / $1,947.46	Facility		$832.80	$1,387.86	$1,947.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.96 / $1,249.90 / $2,281.08	Professional		$1,068.96	$1,249.90	$2,281.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $982.68 / $1,348.10 / $1,444.52	Facility		$982.68	$1,348.10	$1,444.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $832.80 / $1,556.28 / $1,844.06	Facility		$832.80	$1,556.28	$1,844.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,216.57 / $1,671.42 / $2,127.67	Professional		$1,216.57	$1,671.42	$2,127.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,321.70 / $1,769.00 / $2,261.64	Professional		$1,321.70	$1,769.00	$2,261.64
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 $1,092.33 / $1,542.04 / $2,286.33	Professional		$1,092.33	$1,542.04	$2,286.33