Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.20 / $4,684.68 / $8,728.00	Facility		$1,062.20	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $741.67 / $1,841.72	Professional		$406.57	$741.67	$1,841.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.18 / $830.44 / $1,380.89	Professional		$505.18	$830.44	$1,380.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.37 / $1,054.05 / $1,235.50	Professional		$537.37	$1,054.05	$1,235.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.00 / $826.05 / $1,289.35	Facility		$511.00	$826.05	$1,289.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $729.81 / $866.52 / $1,438.50	Professional		$729.81	$866.52	$1,438.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.64 / $967.20 / $1,059.27	Facility		$656.64	$967.20	$1,059.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $909.06 / $1,342.07	Facility		$552.00	$909.06	$1,342.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.47 / $993.14 / $1,335.48	Professional		$756.47	$993.14	$1,335.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.27 / $1,012.53 / $1,386.91	Professional		$870.27	$1,012.53	$1,386.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.11 / $988.37 / $1,413.18	Professional		$673.11	$988.37	$1,413.18