Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.07 / $5,649.00 / $15,341.00	Facility		$1,284.07	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.34 / $621.01 / $2,941.64	Professional		$515.34	$621.01	$2,941.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.81 / $1,296.96 / $1,760.25	Professional		$701.81	$1,296.96	$1,760.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.85 / $1,332.42 / $1,500.17	Professional		$924.85	$1,332.42	$1,500.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $621.01 / $1,034.91 / $1,362.48	Facility		$621.01	$1,034.91	$1,362.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $978.81 / $1,888.53	Professional		$821.40	$978.81	$1,888.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.56 / $976.00 / $1,199.30	Facility		$701.56	$976.00	$1,199.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.01 / $1,195.56 / $1,529.13	Facility		$621.01	$1,195.56	$1,529.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $930.24 / $1,374.36 / $1,757.60	Professional		$930.24	$1,374.36	$1,757.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,569.54 / $2,569.54 / $2,569.54	Facility		$2,569.54	$2,569.54	$2,569.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,095.99 / $1,468.70 / $1,877.71	Professional		$1,095.99	$1,468.70	$1,877.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.59 / $1,346.64 / $1,895.87	Professional		$845.59	$1,346.64	$1,895.87