Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.39 / $4,962.67 / $15,341.00	Facility		$1,113.39	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.46 / $609.44 / $1,607.11	Professional		$408.46	$609.44	$1,607.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.24 / $938.23 / $1,368.70	Professional		$508.24	$938.23	$1,368.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.72 / $1,121.08 / $1,344.99	Professional		$947.72	$1,121.08	$1,344.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.83 / $839.93 / $1,102.45	Facility		$595.83	$839.93	$1,102.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $841.33 / $1,336.23	Professional		$702.00	$841.33	$1,336.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.71 / $855.59 / $1,021.08	Facility		$618.71	$855.59	$1,021.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.20 / $904.86 / $2,402.00	Facility		$612.20	$904.86	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.06 / $991.27 / $1,379.22	Professional		$778.06	$991.27	$1,379.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $848.22 / $1,189.48 / $1,598.68	Professional		$848.22	$1,189.48	$1,598.68
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 $645.61 / $901.16 / $1,450.46	Professional		$645.61	$901.16	$1,450.46