Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.47 / $5,649.00 / $15,341.00	Facility		$1,311.47	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.13 / $845.34 / $3,136.55	Professional		$606.13	$845.34	$3,136.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.79 / $1,289.29 / $1,759.27	Professional		$823.79	$1,289.29	$1,759.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.76 / $1,377.00 / $1,550.36	Professional		$961.76	$1,377.00	$1,550.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.88 / $1,265.13 / $1,817.48	Facility		$834.88	$1,265.13	$1,817.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $877.20 / $1,065.18 / $1,911.85	Professional		$877.20	$1,065.18	$1,911.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $834.96 / $1,126.27 / $1,265.63	Facility		$834.96	$1,126.27	$1,265.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $845.34 / $1,449.25 / $3,274.00	Facility		$845.34	$1,449.25	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,049.77 / $1,388.80 / $1,753.66	Professional		$1,049.77	$1,388.80	$1,753.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,084.30 / $1,467.87 / $1,876.66	Professional		$1,084.30	$1,467.87	$1,876.66
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 $891.29 / $1,310.40 / $1,875.65	Professional		$891.29	$1,310.40	$1,875.65