Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.37 / $4,704.00 / $8,728.00	Facility		$1,314.37	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.82 / $781.61 / $3,180.68	Professional		$649.82	$781.61	$3,180.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.96 / $1,294.53 / $1,755.33	Professional		$839.96	$1,294.53	$1,755.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $955.57 / $1,353.04 / $1,523.38	Professional		$955.57	$1,353.04	$1,523.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.61 / $1,222.78 / $1,680.46	Facility		$781.61	$1,222.78	$1,680.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,086.85 / $1,904.43	Professional		$893.52	$1,086.85	$1,904.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.20 / $1,160.44 / $1,196.80	Facility		$853.20	$1,160.44	$1,196.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.61 / $1,338.81 / $1,680.46	Facility		$781.61	$1,338.81	$1,680.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.48 / $1,400.32 / $1,755.33	Professional		$1,061.48	$1,400.32	$1,755.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,087.36 / $1,464.59 / $1,872.47	Professional		$1,087.36	$1,464.59	$1,872.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.56 / $1,301.59 / $1,880.99	Professional		$911.56	$1,301.59	$1,880.99