Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.99 / $1,100.40 / $2,581.71	Professional		$740.99	$1,100.40	$2,581.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.93 / $1,565.82 / $2,419.90	Professional		$971.93	$1,565.82	$2,419.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,518.31 / $1,778.43 / $2,133.61	Professional		$1,518.31	$1,778.43	$2,133.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.38 / $1,481.18 / $1,961.80	Facility		$1,045.38	$1,481.18	$1,961.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.40 / $1,443.60 / $2,173.77	Professional		$1,235.40	$1,443.60	$2,173.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,124.04 / $1,554.40 / $1,654.23	Facility		$1,124.04	$1,554.40	$1,654.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,082.35 / $1,576.74 / $5,217.00	Facility		$1,082.35	$1,576.74	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,421.07 / $1,651.89 / $2,267.28	Professional		$1,421.07	$1,651.89	$2,267.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,506.82 / $1,927.05 / $2,589.98	Professional		$1,506.82	$1,927.05	$2,589.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.76 / $1,626.79 / $2,582.31	Professional		$1,159.76	$1,626.79	$2,582.31