Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.74 / $4,962.67 / $15,341.00	Facility		$1,471.74	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.42 / $819.73 / $2,101.21	Professional		$561.42	$819.73	$2,101.21
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 $680.95 / $1,242.08 / $1,817.18	Professional		$680.95	$1,242.08	$1,817.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,225.79 / $1,456.72 / $1,747.65	Professional		$1,225.79	$1,456.72	$1,747.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.72 / $1,129.95 / $1,457.75	Facility		$686.72	$1,129.95	$1,457.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $894.54 / $1,091.20 / $1,724.00	Professional		$894.54	$1,091.20	$1,724.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $819.77 / $1,133.64 / $1,331.29	Facility		$819.77	$1,133.64	$1,331.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.73 / $1,198.65 / $2,919.00	Facility		$819.73	$1,198.65	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,313.40 / $1,823.13	Professional		$1,035.00	$1,313.40	$1,823.13
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 $1,116.78 / $1,550.85 / $2,084.36	Professional		$1,116.78	$1,550.85	$2,084.36
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 $862.92 / $1,223.32 / $1,994.03	Professional		$862.92	$1,223.32	$1,994.03