Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.63 / $7,920.26 / $20,400.00	Facility		$1,233.63	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $657.87 / $1,471.36	Professional		$469.82	$657.87	$1,471.36
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 $565.86 / $1,033.08 / $1,514.94	Professional		$565.86	$1,033.08	$1,514.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.64 / $1,226.05 / $1,470.91	Professional		$1,028.64	$1,226.05	$1,470.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.84 / $978.57 / $1,231.25	Facility		$666.84	$978.57	$1,231.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $770.50 / $921.32 / $1,442.77	Professional		$770.50	$921.32	$1,442.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.20 / $940.68 / $1,110.19	Facility		$674.20	$940.68	$1,110.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $753.66 / $1,027.69 / $5,217.00	Facility		$753.66	$1,027.69	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.95 / $1,097.52 / $1,514.94	Professional		$873.95	$1,097.52	$1,514.94
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 $924.86 / $1,293.29 / $1,738.19	Professional		$924.86	$1,293.29	$1,738.19
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 $720.30 / $1,036.34 / $1,769.25	Professional		$720.30	$1,036.34	$1,769.25