Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.66 / $4,962.67 / $15,341.00	Facility		$1,398.66	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.37 / $837.37 / $2,017.89	Professional		$545.37	$837.37	$2,017.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.42 / $1,202.61 / $1,878.71	Professional		$690.42	$1,202.61	$1,878.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.33 / $1,400.13 / $1,679.76	Professional		$1,195.33	$1,400.13	$1,679.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $646.99 / $1,067.46 / $1,529.15	Facility		$646.99	$1,067.46	$1,529.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $768.24 / $1,125.30 / $1,698.68	Professional		$768.24	$1,125.30	$1,698.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.91 / $1,195.38 / $1,289.75	Facility		$753.91	$1,195.38	$1,289.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.89 / $1,229.20 / $2,919.00	Facility		$690.89	$1,229.20	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,060.07 / $1,283.07 / $1,758.37	Professional		$1,060.07	$1,283.07	$1,758.37
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 $1,171.02 / $1,502.46 / $2,019.33	Professional		$1,171.02	$1,502.46	$2,019.33
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 $873.12 / $1,255.10 / $1,972.54	Professional		$873.12	$1,255.10	$1,972.54