Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.27 / $7,920.26 / $20,400.00	Facility		$1,251.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.62 / $874.36 / $1,970.04	Professional		$493.62	$874.36	$1,970.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.59 / $958.75 / $1,511.75	Professional		$577.59	$958.75	$1,511.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $1,189.23 / $1,321.37	Professional		$572.20	$1,189.23	$1,321.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $581.17 / $892.86 / $1,586.48	Facility		$581.17	$892.86	$1,586.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $841.10 / $953.82 / $1,694.70	Professional		$841.10	$953.82	$1,694.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $781.98 / $1,076.02 / $1,130.29	Facility		$781.98	$1,076.02	$1,130.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $1,316.92 / $6,437.00	Facility		$691.00	$1,316.92	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.91 / $1,083.55 / $1,495.19	Professional		$872.91	$1,083.55	$1,495.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,025.26 / $1,106.33 / $1,540.15	Professional		$1,025.26	$1,106.33	$1,540.15
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 $694.02 / $1,043.90 / $1,580.23	Professional		$694.02	$1,043.90	$1,580.23