Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $11,748.98 / $24,547.09	Facility		$1,698.24	$11,748.98	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,905.46	Professional		$831.76	$1,258.93	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,715.35	Professional		$1,412.54	$2,344.23	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,548.13	Professional		$2,290.87	$3,019.95	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $11,481.54	Facility		$1,148.15	$1,698.24	$11,481.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $6,918.31	Professional		$831.76	$1,380.38	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $2,691.53	Facility		$1,862.09	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,754.23	Facility		$1,174.90	$1,698.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $3,467.37	Professional		$79.43	$2,089.30	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $3,630.78	Professional		$1,584.89	$2,570.40	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $3,388.44	Professional		$1,096.48	$2,187.76	$3,388.44