Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.68 / $8,878.56 / $28,146.15	Facility		$1,329.68	$8,878.56	$28,146.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.66 / $817.64 / $3,086.90	Professional		$549.66	$817.64	$3,086.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.71 / $1,299.91 / $1,773.03	Professional		$795.71	$1,299.91	$1,773.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.12 / $1,384.23 / $1,563.47	Professional		$963.12	$1,384.23	$1,563.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.64 / $1,244.19 / $1,757.93	Facility		$817.64	$1,244.19	$1,757.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $900.66 / $1,026.13 / $1,918.21	Professional		$900.66	$1,026.13	$1,918.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $1,115.95 / $1,208.01	Facility		$821.71	$1,115.95	$1,208.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.64 / $1,418.10 / $6,246.00	Facility		$817.64	$1,418.10	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,026.96 / $1,383.17 / $1,773.03	Professional		$1,026.96	$1,383.17	$1,773.03
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 $1,103.36 / $1,479.36 / $1,891.35	Professional		$1,103.36	$1,479.36	$1,891.35
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 $876.72 / $1,220.39 / $1,908.65	Professional		$876.72	$1,220.39	$1,908.65