Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.96 / $7,920.26 / $20,400.00	Facility		$1,444.96	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.32 / $904.23 / $2,081.71	Professional		$592.32	$904.23	$2,081.71
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 $771.44 / $1,256.04 / $1,922.96	Professional		$771.44	$1,256.04	$1,922.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.03 / $1,443.11 / $1,731.32	Professional		$1,232.03	$1,443.11	$1,731.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $886.26 / $1,195.98 / $1,579.30	Facility		$886.26	$1,195.98	$1,579.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $999.92 / $1,148.24 / $1,751.95	Professional		$999.92	$1,148.24	$1,751.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $894.39 / $1,236.15 / $1,330.62	Facility		$894.39	$1,236.15	$1,330.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.75 / $1,293.03 / $2,748.00	Facility		$896.75	$1,293.03	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,120.80 / $1,322.99 / $1,817.51	Professional		$1,120.80	$1,322.99	$1,817.51
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 $1,209.77 / $1,550.07 / $2,083.31	Professional		$1,209.77	$1,550.07	$2,083.31
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 $917.28 / $1,277.05 / $2,018.77	Professional		$917.28	$1,277.05	$2,018.77