Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.39 / $7,920.26 / $20,400.00	Facility		$1,556.39	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.87 / $917.15 / $1,888.25	Professional		$620.87	$917.15	$1,888.25
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 $806.20 / $1,336.29 / $2,075.23	Professional		$806.20	$1,336.29	$2,075.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.49 / $1,550.23 / $1,859.83	Professional		$1,323.49	$1,550.23	$1,859.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.50 / $1,252.08 / $1,697.45	Facility		$898.50	$1,252.08	$1,697.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.25 / $1,220.99 / $1,883.82	Professional		$1,081.25	$1,220.99	$1,883.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $961.73 / $1,322.45 / $1,433.13	Facility		$961.73	$1,322.45	$1,433.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $935.75 / $1,368.84 / $5,217.00	Facility		$935.75	$1,368.84	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,189.09 / $1,424.14 / $1,958.88	Professional		$1,189.09	$1,424.14	$1,958.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,303.86 / $1,669.49 / $2,243.81	Professional		$1,303.86	$1,669.49	$2,243.81
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 $991.27 / $1,394.40 / $2,181.60	Professional		$991.27	$1,394.40	$2,181.60