Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.28 / $5,116.62 / $13,320.00	Facility		$967.28	$5,116.62	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.89 / $648.79 / $1,484.16	Professional		$483.89	$648.79	$1,484.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.89 / $1,225.88 / $1,932.63	Professional		$824.89	$1,225.88	$1,932.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.42 / $1,323.97 / $1,659.98	Professional		$919.42	$1,323.97	$1,659.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.58 / $994.75 / $1,674.94	Facility		$727.58	$994.75	$1,674.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $918.52 / $1,146.66 / $1,825.91	Professional		$918.52	$1,146.66	$1,825.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.10 / $1,291.66 / $1,503.65	Facility		$838.10	$1,291.66	$1,503.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.58 / $1,100.72 / $5,370.75	Facility		$727.58	$1,100.72	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,024.78 / $1,310.54 / $1,796.90	Professional		$1,024.78	$1,310.54	$1,796.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.86 / $1,410.00 / $1,994.49	Professional		$1,090.86	$1,410.00	$1,994.49
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 $872.45 / $1,286.99 / $2,218.67	Professional		$872.45	$1,286.99	$2,218.67