Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.88 / $8,878.56 / $20,400.00	Facility		$1,939.88	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.66 / $1,034.33 / $2,304.59	Professional		$739.66	$1,034.33	$2,304.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.61 / $1,478.59 / $2,342.62	Professional		$882.61	$1,478.59	$2,342.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.68 / $1,837.57 / $2,044.64	Professional		$886.68	$1,837.57	$2,044.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $886.68 / $1,374.35 / $2,340.84	Facility		$886.68	$1,374.35	$2,340.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.75 / $1,472.91 / $2,627.94	Professional		$1,283.75	$1,472.91	$2,627.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.33 / $1,623.30 / $1,750.71	Facility		$1,092.33	$1,623.30	$1,750.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.55 / $1,995.84 / $7,339.00	Facility		$1,024.55	$1,995.84	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,342.74 / $1,675.08 / $2,318.44	Professional		$1,342.74	$1,675.08	$2,318.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,589.85 / $1,713.61 / $2,380.23	Professional		$1,589.85	$1,713.61	$2,380.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.44 / $1,613.29 / $2,442.15	Professional		$1,116.44	$1,613.29	$2,442.15