Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.04 / $2,747.00 / $20,400.00	Facility		$616.04	$2,747.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $438.17 / $908.11	Professional		$301.50	$438.17	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.69 / $791.73 / $1,272.77	Professional		$503.69	$791.73	$1,272.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.36 / $816.67 / $1,091.95	Professional		$560.36	$816.67	$1,091.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.51 / $662.81 / $1,035.05	Facility		$441.51	$662.81	$1,035.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $558.80 / $749.10 / $1,110.83	Professional		$558.80	$749.10	$1,110.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.52 / $839.15 / $935.99	Facility		$533.52	$839.15	$935.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.54 / $715.83 / $5,370.75	Facility		$443.54	$715.83	$5,370.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.72 / $854.71 / $1,169.99	Professional		$623.72	$854.71	$1,169.99
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 $664.23 / $911.42 / $1,314.18	Professional		$664.23	$911.42	$1,314.18
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 $574.20 / $848.90 / $1,337.34	Professional		$574.20	$848.90	$1,337.34