Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.77 / $7,920.26 / $20,400.00	Facility		$1,493.77	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.77 / $996.08 / $3,529.92	Professional		$594.77	$996.08	$3,529.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.86 / $1,497.65 / $1,978.56	Professional		$932.86	$1,497.65	$1,978.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.84 / $1,538.05 / $1,746.48	Professional		$1,067.84	$1,538.05	$1,746.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $1,444.93 / $2,141.57	Facility		$881.10	$1,444.93	$2,141.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,182.72 / $2,121.92	Professional		$1,064.88	$1,182.72	$2,121.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $950.88 / $1,279.70 / $1,355.92	Facility		$950.88	$1,279.70	$1,355.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.08 / $1,670.79 / $5,626.00	Facility		$996.08	$1,670.79	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,188.76 / $1,584.21 / $1,988.02	Professional		$1,188.76	$1,584.21	$1,988.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,237.44 / $1,650.85 / $2,110.59	Professional		$1,237.44	$1,650.85	$2,110.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.30 / $1,485.73 / $2,140.56	Professional		$1,012.30	$1,485.73	$2,140.56