Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.15 / $7,920.26 / $20,400.00	Facility		$221.15	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.43 / $1,259.91 / $1,259.91	Professional		$794.43	$1,259.91	$1,259.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.91 / $1,766.45 / $2,727.26	Professional		$1,147.91	$1,766.45	$2,727.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.36 / $1,810.22 / $2,062.13	Professional		$1,481.36	$1,810.22	$2,062.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.91 / $1,756.49 / $2,384.25	Facility		$1,259.91	$1,756.49	$2,384.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $529.20 / $529.20 / $1,983.08	Professional		$529.20	$529.20	$1,983.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $1,305.04 / $1,644.18	Facility		$281.25	$1,305.04	$1,644.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,259.91 / $1,801.67 / $2,708.81	Facility		$1,259.91	$1,801.67	$2,708.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,357.08 / $1,905.11 / $2,727.26	Professional		$1,357.08	$1,905.11	$2,727.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,077.02 / $1,312.13	Facility		$872.64	$1,077.02	$1,312.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,538.19 / $2,013.51 / $2,665.57	Professional		$1,538.19	$2,013.51	$2,665.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.02 / $732.39 / $1,144.48	Professional		$497.02	$732.39	$1,144.48