Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.62 / $4,962.67 / $15,341.00	Facility		$1,627.62	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.96 / $873.16 / $2,648.33	Professional		$569.96	$873.16	$2,648.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.50 / $1,549.85 / $2,495.01	Professional		$865.50	$1,549.85	$2,495.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,562.70 / $1,830.43 / $2,196.00	Professional		$1,562.70	$1,830.43	$2,196.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $843.79 / $1,145.68 / $1,741.65	Facility		$843.79	$1,145.68	$1,741.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $952.80 / $1,438.51 / $2,284.69	Professional		$952.80	$1,438.51	$2,284.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $929.40 / $1,429.45 / $1,741.33	Facility		$929.40	$1,429.45	$1,741.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.71 / $1,309.11 / $2,994.47	Facility		$869.71	$1,309.11	$2,994.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.16 / $1,707.45 / $2,362.56	Professional		$1,172.16	$1,707.45	$2,362.56
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 $1,578.79 / $2,028.52 / $2,726.35	Professional		$1,578.79	$2,028.52	$2,726.35
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 $1,072.40 / $1,586.63 / $2,484.76	Professional		$1,072.40	$1,586.63	$2,484.76