Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.72 / $7,920.26 / $20,400.00	Facility		$2,035.72	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.41 / $1,105.95 / $2,238.60	Professional		$821.41	$1,105.95	$2,238.60
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 $954.35 / $1,562.35 / $2,447.25	Professional		$954.35	$1,562.35	$2,447.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.29 / $1,934.59 / $2,149.55	Professional		$926.29	$1,934.59	$2,149.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $960.39 / $1,489.73 / $2,642.59	Facility		$960.39	$1,489.73	$2,642.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.14 / $1,553.28 / $2,759.10	Professional		$1,435.14	$1,553.28	$2,759.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,280.05 / $1,762.77 / $1,867.96	Facility		$1,280.05	$1,762.77	$1,867.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.15 / $2,146.42 / $6,437.00	Facility		$1,089.15	$2,146.42	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,424.52 / $1,764.10 / $2,436.96	Professional		$1,424.52	$1,764.10	$2,436.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,669.19 / $1,797.55 / $2,523.13	Professional		$1,669.19	$1,797.55	$2,523.13
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 $1,136.06 / $1,736.46 / $2,694.15	Professional		$1,136.06	$1,736.46	$2,694.15