Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.24 / $2,747.00 / $13,320.00	Facility		$1,082.24	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $715.88 / $1,616.41	Professional		$461.36	$715.88	$1,616.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.95 / $1,063.50 / $1,628.44	Professional		$611.95	$1,063.50	$1,628.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.90 / $1,217.31 / $1,469.97	Professional		$971.90	$1,217.31	$1,469.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $680.09 / $955.16 / $1,522.22	Facility		$680.09	$955.16	$1,522.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $771.23 / $964.41 / $1,470.03	Professional		$771.23	$964.41	$1,470.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $671.01 / $1,089.49 / $1,190.58	Facility		$671.01	$1,089.49	$1,190.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $662.57 / $958.52 / $1,539.14	Facility		$662.57	$958.52	$1,539.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.02 / $1,148.09 / $1,574.37	Professional		$874.02	$1,148.09	$1,574.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,550.94 / $2,059.69	Facility		$1,245.03	$1,550.94	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $889.33 / $1,184.59 / $1,666.08	Professional		$889.33	$1,184.59	$1,666.08
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.43 / $1,198.47 / $1,772.88	Professional		$781.43	$1,198.47	$1,772.88