Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.98 / $4,962.67 / $15,341.00	Facility		$1,173.98	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.48 / $786.96 / $1,826.34	Professional		$548.48	$786.96	$1,826.34
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 $718.38 / $1,126.39 / $1,728.78	Professional		$718.38	$1,126.39	$1,728.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,059.79 / $1,256.33 / $1,489.27	Professional		$1,059.79	$1,256.33	$1,489.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.61 / $1,099.48 / $1,515.51	Facility		$747.61	$1,099.48	$1,515.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $944.67 / $1,057.32 / $1,545.83	Professional		$944.67	$1,057.32	$1,545.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $780.05 / $1,078.70 / $1,177.85	Facility		$780.05	$1,078.70	$1,177.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.96 / $1,149.83 / $2,402.00	Facility		$786.96	$1,149.83	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.60 / $1,204.59 / $1,640.72	Professional		$1,048.60	$1,204.59	$1,640.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,078.76 / $1,372.12 / $1,844.14	Professional		$1,078.76	$1,372.12	$1,844.14
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.87 / $1,184.06 / $1,848.71	Professional		$859.87	$1,184.06	$1,848.71