Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,350.17 / $7,920.26 / $20,400.00	Facility		$2,350.17	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.66 / $1,614.80 / $3,414.00	Professional		$854.66	$1,614.80	$3,414.00
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 $1,003.09 / $1,644.17 / $2,781.61	Professional		$1,003.09	$1,644.17	$2,781.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.57 / $2,212.52 / $2,461.76	Professional		$1,067.57	$2,212.52	$2,461.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.57 / $1,654.73 / $2,739.78	Facility		$1,067.57	$1,654.73	$2,739.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.50 / $1,719.88 / $3,184.05	Professional		$1,501.50	$1,719.88	$3,184.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,266.70 / $1,858.58 / $2,111.17	Facility		$1,266.70	$1,858.58	$2,111.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,249.70 / $2,328.15 / $6,437.00	Facility		$1,249.70	$2,328.15	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,497.96 / $2,020.14 / $2,781.61	Professional		$1,497.96	$2,020.14	$2,781.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,926.28 / $2,066.42 / $2,849.49	Professional		$1,926.28	$2,066.42	$2,849.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.40 / $1,884.30 / $2,704.49	Professional		$1,370.40	$1,884.30	$2,704.49