Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.59 / $5,116.62 / $20,400.00	Facility		$1,207.59	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $710.60 / $1,465.09	Professional		$468.54	$710.60	$1,465.09
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 $648.79 / $1,052.01 / $1,613.27	Professional		$648.79	$1,052.01	$1,613.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $1,205.08 / $1,445.75	Professional		$1,028.82	$1,205.08	$1,445.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $767.88 / $998.82 / $1,304.75	Facility		$767.88	$998.82	$1,304.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $830.56 / $969.82 / $1,462.86	Professional		$830.56	$969.82	$1,462.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.25 / $1,039.83 / $1,112.86	Facility		$751.25	$1,039.83	$1,112.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.88 / $1,087.05 / $5,217.00	Facility		$767.88	$1,087.05	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.37 / $1,105.15 / $1,519.06	Professional		$945.37	$1,105.15	$1,519.06
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 $1,011.11 / $1,296.41 / $1,742.39	Professional		$1,011.11	$1,296.41	$1,742.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.63 / $1,097.58 / $1,703.20	Professional		$752.63	$1,097.58	$1,703.20