Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.55 / $2,747.00 / $7,920.26	Facility		$2,001.55	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.71 / $1,357.53 / $3,155.56	Professional		$930.71	$1,357.53	$3,155.56
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 $1,190.47 / $1,944.07 / $2,940.30	Professional		$1,190.47	$1,944.07	$2,940.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,832.43 / $2,149.89 / $2,575.02	Professional		$1,832.43	$2,149.89	$2,575.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.24 / $1,851.96 / $2,493.05	Facility		$1,349.24	$1,851.96	$2,493.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.54 / $1,736.23 / $2,604.34	Professional		$1,591.54	$1,736.23	$2,604.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,437.17 / $1,917.84 / $2,003.30	Facility		$1,437.17	$1,917.84	$2,003.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,336.08 / $1,859.82 / $2,563.14	Facility		$1,336.08	$1,859.82	$2,563.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,785.55 / $2,051.00 / $2,759.99	Professional		$1,785.55	$2,051.00	$2,759.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,587.52 / $7,334.15 / $12,457.78	Facility		$2,587.52	$7,334.15	$12,457.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,837.09 / $2,333.69 / $3,136.51	Professional		$1,837.09	$2,333.69	$3,136.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.15 / $2,020.53 / $3,090.70	Professional		$1,380.15	$2,020.53	$3,090.70