Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.66 / $1,758.00 / $13,320.00	Facility		$1,007.66	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $682.69 / $1,498.71	Professional		$455.74	$682.69	$1,498.71
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 $705.36 / $1,164.57 / $1,820.08	Professional		$705.36	$1,164.57	$1,820.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.40 / $1,288.53 / $1,643.32	Professional		$1,065.40	$1,288.53	$1,643.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.84 / $1,028.86 / $1,529.88	Facility		$637.84	$1,028.86	$1,529.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $835.78 / $1,113.02 / $1,657.22	Professional		$835.78	$1,113.02	$1,657.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $1,239.92 / $1,368.14	Facility		$826.50	$1,239.92	$1,368.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.57 / $1,094.38 / $1,841.94	Facility		$675.57	$1,094.38	$1,841.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.35 / $1,278.42 / $1,776.72	Professional		$933.35	$1,278.42	$1,776.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $940.99 / $1,330.63 / $1,897.43	Professional		$940.99	$1,330.63	$1,897.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.21 / $1,340.67 / $2,105.16	Professional		$913.21	$1,340.67	$2,105.16