Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.51 / $7,920.26 / $20,400.00	Facility		$1,264.51	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.20 / $780.93 / $2,304.00	Professional		$481.20	$780.93	$2,304.00
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 $663.84 / $1,092.34 / $1,666.77	Professional		$663.84	$1,092.34	$1,666.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.32 / $1,261.89 / $1,513.91	Professional		$1,077.32	$1,261.89	$1,513.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,035.35 / $1,369.35	Facility		$750.00	$1,035.35	$1,369.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $856.80 / $995.40 / $1,527.50	Professional		$856.80	$995.40	$1,527.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.68 / $1,071.33 / $1,163.79	Facility		$775.68	$1,071.33	$1,163.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.60 / $1,124.65 / $5,217.00	Facility		$773.60	$1,124.65	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.35 / $1,154.98 / $1,590.20	Professional		$973.35	$1,154.98	$1,590.20
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 $1,058.47 / $1,355.73 / $1,822.11	Professional		$1,058.47	$1,355.73	$1,822.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.51 / $1,187.54 / $1,830.97	Professional		$815.51	$1,187.54	$1,830.97