Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.20 / $4,962.67 / $15,341.00	Facility		$1,279.20	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $772.09 / $1,854.24	Professional		$505.35	$772.09	$1,854.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.58 / $1,112.85 / $1,698.66	Professional		$629.58	$1,112.85	$1,698.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.77 / $1,271.70 / $1,520.16	Professional		$1,081.77	$1,271.70	$1,520.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $722.47 / $952.49 / $1,439.05	Facility		$722.47	$952.49	$1,439.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $1,014.98 / $1,530.98	Professional		$842.40	$1,014.98	$1,530.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $804.27 / $1,112.20 / $1,169.82	Facility		$804.27	$1,112.20	$1,169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.47 / $1,058.96 / $1,469.93	Facility		$722.47	$1,058.96	$1,469.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $939.60 / $1,173.90 / $1,603.35	Professional		$939.60	$1,173.90	$1,603.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,053.55 / $1,362.75 / $1,825.72	Professional		$1,053.55	$1,362.75	$1,825.72
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 $784.43 / $1,151.61 / $1,774.67	Professional		$784.43	$1,151.61	$1,774.67