Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.22 / $4,684.68 / $8,728.00	Facility		$1,068.22	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $735.33 / $1,443.03	Professional		$484.35	$735.33	$1,443.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.96 / $1,027.81 / $1,569.02	Professional		$625.96	$1,027.81	$1,569.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.04 / $1,192.49 / $1,430.64	Professional		$1,018.04	$1,192.49	$1,430.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $703.64 / $977.04 / $1,278.40	Facility		$703.64	$977.04	$1,278.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $802.74 / $945.50 / $1,442.77	Professional		$802.74	$945.50	$1,442.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $734.02 / $1,013.71 / $1,096.11	Facility		$734.02	$1,013.71	$1,096.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.97 / $1,059.53 / $2,450.00	Facility		$718.97	$1,059.53	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $914.40 / $1,090.78 / $1,495.03	Professional		$914.40	$1,090.78	$1,495.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $994.51 / $1,276.90 / $1,716.16	Professional		$994.51	$1,276.90	$1,716.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.50 / $1,098.96 / $1,675.22	Professional		$720.50	$1,098.96	$1,675.22