Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.55 / $7,920.26 / $20,400.00	Facility		$1,334.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $848.19 / $1,619.10	Professional		$540.58	$848.19	$1,619.10
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 $757.26 / $1,194.75 / $1,766.57	Professional		$757.26	$1,194.75	$1,766.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.97 / $1,335.27 / $1,601.95	Professional		$1,139.97	$1,335.27	$1,601.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $848.19 / $1,185.98 / $1,629.06	Facility		$848.19	$1,185.98	$1,629.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $979.62 / $1,078.31 / $1,617.46	Professional		$979.62	$1,078.31	$1,617.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $818.32 / $1,131.63 / $1,230.11	Facility		$818.32	$1,131.63	$1,230.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.19 / $1,268.63 / $5,217.00	Facility		$848.19	$1,268.63	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,072.50 / $1,228.34 / $1,677.98	Professional		$1,072.50	$1,228.34	$1,677.98
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 $1,116.90 / $1,433.00 / $1,925.96	Professional		$1,116.90	$1,433.00	$1,925.96
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 $858.29 / $1,172.31 / $1,881.37	Professional		$858.29	$1,172.31	$1,881.37