Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.80 / $7,074.00 / $11,266.00	Facility		$364.80	$7,074.00	$11,266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $964.30 / $4,595.00	Professional		$175.84	$964.30	$4,595.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $724.68 / $2,231.80	Professional		$311.89	$724.68	$2,231.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $699.97 / $1,837.37	Professional		$335.63	$699.97	$1,837.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.74 / $699.97 / $2,584.00	Facility		$250.74	$699.97	$2,584.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $1,067.93 / $2,335.19	Professional		$282.88	$1,067.93	$2,335.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.79 / $1,449.86 / $1,917.54	Facility		$359.79	$1,449.86	$1,917.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.74 / $1,294.43 / $2,584.00	Facility		$250.74	$1,294.43	$2,584.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $980.27 / $2,229.32	Professional		$342.55	$980.27	$2,229.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $607.21 / $2,208.62	Professional		$341.18	$607.21	$2,208.62
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 $1,387.55 / $2,012.82 / $2,575.98	Professional		$1,387.55	$2,012.82	$2,575.98