Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.61 / $7,920.26 / $20,400.00	Facility		$1,221.61	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $732.61 / $1,765.98	Professional		$482.04	$732.61	$1,765.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.70 / $1,052.91 / $1,611.21	Professional		$614.70	$1,052.91	$1,611.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.70 / $1,228.71 / $1,474.11	Professional		$1,047.70	$1,228.71	$1,474.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.96 / $958.32 / $1,320.05	Facility		$686.96	$958.32	$1,320.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $825.69 / $970.92 / $1,483.84	Professional		$825.69	$970.92	$1,483.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.27 / $1,032.47 / $1,126.94	Facility		$746.27	$1,032.47	$1,126.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.24 / $1,077.11 / $7,090.00	Facility		$720.24	$1,077.11	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $924.54 / $1,119.33 / $1,533.84	Professional		$924.54	$1,119.33	$1,533.84
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 $1,020.95 / $1,312.80 / $1,764.42	Professional		$1,020.95	$1,312.80	$1,764.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.71 / $1,114.13 / $1,719.77	Professional		$773.71	$1,114.13	$1,719.77