Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.31 / $2,747.00 / $7,920.26	Facility		$1,206.31	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.13 / $844.44 / $2,121.94	Professional		$535.13	$844.44	$2,121.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.69 / $1,153.90 / $1,671.82	Professional		$616.69	$1,153.90	$1,671.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.40 / $1,275.54 / $1,578.27	Professional		$971.40	$1,275.54	$1,578.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.51 / $1,093.69 / $1,632.76	Facility		$662.51	$1,093.69	$1,632.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $899.55 / $1,049.60 / $1,799.10	Professional		$899.55	$1,049.60	$1,799.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.44 / $1,115.83 / $1,236.15	Facility		$781.44	$1,115.83	$1,236.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.35 / $1,190.91 / $1,632.76	Facility		$705.35	$1,190.91	$1,632.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.85 / $1,323.05 / $1,705.92	Professional		$993.85	$1,323.05	$1,705.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,127.34 / $1,432.64 / $1,736.77	Professional		$1,127.34	$1,432.64	$1,736.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.48 / $1,208.88 / $1,913.14	Professional		$858.48	$1,208.88	$1,913.14