Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,920.26 / $20,400.00	Facility		$1,288.25	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $791.51 / $1,856.40	Professional		$515.66	$791.51	$1,856.40
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 $668.35 / $1,109.47 / $1,726.44	Professional		$668.35	$1,109.47	$1,726.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.25 / $1,285.24 / $1,541.92	Professional		$1,097.25	$1,285.24	$1,541.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.22 / $1,038.24 / $1,410.15	Facility		$747.22	$1,038.24	$1,410.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $881.79 / $1,036.64 / $1,561.57	Professional		$881.79	$1,036.64	$1,561.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $803.79 / $1,109.52 / $1,187.24	Facility		$803.79	$1,109.52	$1,187.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.59 / $1,144.00 / $5,217.00	Facility		$768.59	$1,144.00	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $989.37 / $1,179.92 / $1,620.70	Professional		$989.37	$1,179.92	$1,620.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,078.76 / $1,383.05 / $1,858.83	Professional		$1,078.76	$1,383.05	$1,858.83
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 $772.70 / $1,174.59 / $1,809.55	Professional		$772.70	$1,174.59	$1,809.55