Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,172.61 / $7,920.26 / $20,400.00	Facility		$2,172.61	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,484.37 / $2,564.19	Professional		$807.50	$1,484.37	$2,564.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.20 / $1,615.80 / $2,605.21	Professional		$987.20	$1,615.80	$2,605.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.08 / $2,049.34 / $2,277.04	Professional		$986.08	$2,049.34	$2,277.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $986.08 / $1,528.42 / $2,556.51	Facility		$986.08	$1,528.42	$2,556.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.14 / $1,602.47 / $2,943.09	Professional		$1,399.14	$1,602.47	$2,943.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.61 / $1,813.02 / $1,954.39	Facility		$1,276.61	$1,813.02	$1,954.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.04 / $2,182.94 / $6,437.00	Facility		$1,156.04	$2,182.94	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,468.26 / $1,874.51 / $2,579.17	Professional		$1,468.26	$1,874.51	$2,579.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,780.51 / $1,912.97 / $2,639.17	Professional		$1,780.51	$1,912.97	$2,639.17
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.43 / $1,788.80 / $2,591.01	Professional		$1,235.43	$1,788.80	$2,591.01