Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.71 / $7,920.26 / $20,400.00	Facility		$1,384.71	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $652.98 / $1,636.08	Professional		$533.91	$652.98	$1,636.08
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 $739.51 / $1,207.08 / $1,844.76	Professional		$739.51	$1,207.08	$1,844.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,380.61 / $1,656.34	Professional		$1,178.68	$1,380.61	$1,656.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.78 / $1,143.90 / $1,515.55	Facility		$838.78	$1,143.90	$1,515.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $992.40 / $1,108.56 / $1,675.11	Professional		$992.40	$1,108.56	$1,675.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.29 / $1,186.57 / $1,274.33	Facility		$866.29	$1,186.57	$1,274.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.35 / $1,242.52 / $2,748.00	Facility		$867.35	$1,242.52	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.08 / $1,269.09 / $1,742.15	Professional		$1,075.08	$1,269.09	$1,742.15
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 $1,159.33 / $1,484.51 / $1,995.20	Professional		$1,159.33	$1,484.51	$1,995.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.99 / $1,239.69 / $1,986.78	Professional		$881.99	$1,239.69	$1,986.78