Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $14,614.14 / $59,252.00	Facility		$5,116.62	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $783.99 / $1,029.48	Professional		$518.60	$783.99	$1,029.48
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 $928.83 / $1,610.52 / $1,877.65	Professional		$928.83	$1,610.52	$1,877.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.13 / $1,486.87 / $1,651.39	Professional		$1,143.13	$1,486.87	$1,651.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.07 / $1,080.95 / $1,624.31	Facility		$732.07	$1,080.95	$1,624.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.97 / $888.97 / $888.97	Professional		$888.97	$888.97	$888.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.81 / $695.47 / $732.07	Facility		$443.81	$695.47	$732.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.07 / $1,061.50 / $1,624.31	Facility		$732.07	$1,061.50	$1,624.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.00 / $1,597.66 / $2,112.80	Professional		$997.00	$1,597.66	$2,112.80
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 $1,313.71 / $1,415.87 / $1,943.33	Professional		$1,313.71	$1,415.87	$1,943.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.89 / $1,262.63 / $1,909.38	Professional		$808.89	$1,262.63	$1,909.38