Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.58 / $4,962.67 / $15,341.00	Facility		$1,227.58	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $839.44 / $1,768.86	Professional		$486.68	$839.44	$1,768.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.85 / $1,093.03 / $1,880.35	Professional		$649.85	$1,093.03	$1,880.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.30 / $1,294.14 / $1,735.83	Professional		$760.30	$1,294.14	$1,735.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.90 / $1,101.35 / $1,804.80	Facility		$578.90	$1,101.35	$1,804.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $886.89 / $1,189.83 / $1,752.70	Professional		$886.89	$1,189.83	$1,752.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $858.67 / $1,371.47 / $1,502.81	Facility		$858.67	$1,371.47	$1,502.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.06 / $1,280.27 / $3,065.00	Facility		$681.06	$1,280.27	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $960.16 / $1,342.80 / $1,788.00	Professional		$960.16	$1,342.80	$1,788.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,006.19 / $1,431.50 / $1,966.32	Professional		$1,006.19	$1,431.50	$1,966.32
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 $952.20 / $1,388.39 / $2,011.03	Professional		$952.20	$1,388.39	$2,011.03