Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.67 / $7,920.26 / $20,400.00	Facility		$1,121.67	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $701.35 / $1,618.05	Professional		$464.40	$701.35	$1,618.05
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 $598.64 / $985.70 / $1,476.43	Professional		$598.64	$985.70	$1,476.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.59 / $1,125.38 / $1,350.13	Professional		$959.59	$1,125.38	$1,350.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.09 / $929.38 / $1,204.45	Facility		$709.09	$929.38	$1,204.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.20 / $896.09 / $1,358.94	Professional		$787.20	$896.09	$1,358.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.60 / $946.71 / $1,032.47	Facility		$684.60	$946.71	$1,032.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.09 / $1,011.27 / $5,217.00	Facility		$709.09	$1,011.27	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.68 / $1,021.36 / $1,409.10	Professional		$873.68	$1,021.36	$1,409.10
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 $937.93 / $1,202.75 / $1,616.51	Professional		$937.93	$1,202.75	$1,616.51
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 $714.50 / $992.81 / $1,607.35	Professional		$714.50	$992.81	$1,607.35