Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.10 / $4,962.67 / $15,341.00	Facility		$1,105.10	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.23 / $704.27 / $1,588.01	Professional		$466.23	$704.27	$1,588.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.59 / $976.50 / $1,491.86	Professional		$597.59	$976.50	$1,491.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $928.80 / $1,091.32 / $1,305.19	Professional		$928.80	$1,091.32	$1,305.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.06 / $931.50 / $1,289.45	Facility		$669.06	$931.50	$1,289.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $801.56 / $900.24 / $1,360.04	Professional		$801.56	$900.24	$1,360.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.85 / $978.87 / $1,030.00	Facility		$707.85	$978.87	$1,030.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.27 / $1,007.11 / $2,919.00	Facility		$704.27	$1,007.11	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $903.50 / $1,040.19 / $1,405.92	Professional		$903.50	$1,040.19	$1,405.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $934.85 / $1,194.95 / $1,606.02	Professional		$934.85	$1,194.95	$1,606.02
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 $715.89 / $1,022.70 / $1,602.09	Professional		$715.89	$1,022.70	$1,602.09