Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.53 / $7,920.26 / $13,320.00	Facility		$1,150.53	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.64 / $752.77 / $1,555.19	Professional		$477.64	$752.77	$1,555.19
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 $655.81 / $1,099.79 / $1,694.55	Professional		$655.81	$1,099.79	$1,694.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.91 / $1,280.15 / $1,535.82	Professional		$1,092.91	$1,280.15	$1,535.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.87 / $1,042.08 / $1,362.86	Facility		$775.87	$1,042.08	$1,362.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $903.13 / $1,015.56 / $1,551.96	Professional		$903.13	$1,015.56	$1,551.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.47 / $1,090.08 / $1,179.20	Facility		$782.47	$1,090.08	$1,179.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.43 / $1,133.98 / $5,217.00	Facility		$786.43	$1,133.98	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.27 / $1,172.47 / $1,612.38	Professional		$973.27	$1,172.47	$1,612.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,073.22 / $1,373.68 / $1,846.24	Professional		$1,073.22	$1,373.68	$1,846.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $829.79 / $1,141.95 / $1,710.60	Professional		$829.79	$1,141.95	$1,710.60