Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.46 / $7,920.26 / $20,400.00	Facility		$1,331.46	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.23 / $825.61 / $1,919.87	Professional		$541.23	$825.61	$1,919.87
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 $685.02 / $1,155.57 / $1,765.54	Professional		$685.02	$1,155.57	$1,765.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.40 / $1,331.10 / $1,596.93	Professional		$1,136.40	$1,331.10	$1,596.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.75 / $1,065.59 / $1,433.95	Facility		$794.75	$1,065.59	$1,433.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $913.13 / $1,063.92 / $1,613.95	Professional		$913.13	$1,063.92	$1,613.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.61 / $1,101.09 / $1,226.77	Facility		$793.61	$1,101.09	$1,226.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.22 / $1,201.55 / $5,217.00	Facility		$800.22	$1,201.55	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,010.67 / $1,219.38 / $1,674.29	Professional		$1,010.67	$1,219.38	$1,674.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,114.44 / $1,429.10 / $1,920.72	Professional		$1,114.44	$1,429.10	$1,920.72
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 $799.12 / $1,184.28 / $1,877.24	Professional		$799.12	$1,184.28	$1,877.24