Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.85 / $4,962.67 / $15,341.00	Facility		$1,269.85	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $779.73 / $1,831.09	Professional		$511.57	$779.73	$1,831.09
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 $660.16 / $1,096.91 / $1,677.06	Professional		$660.16	$1,096.91	$1,677.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.28 / $1,270.05 / $1,523.69	Professional		$1,084.28	$1,270.05	$1,523.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.71 / $1,031.77 / $1,378.70	Facility		$775.71	$1,031.77	$1,378.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $859.35 / $1,014.94 / $1,537.97	Professional		$859.35	$1,014.94	$1,537.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $770.84 / $1,066.99 / $1,169.82	Facility		$770.84	$1,066.99	$1,169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $779.73 / $1,124.68 / $2,919.00	Facility		$779.73	$1,124.68	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.80 / $1,162.44 / $1,596.67	Professional		$973.80	$1,162.44	$1,596.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,062.77 / $1,362.75 / $1,831.55	Professional		$1,062.77	$1,362.75	$1,831.55
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 $802.13 / $1,129.54 / $1,765.35	Professional		$802.13	$1,129.54	$1,765.35