Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.90 / $2,747.00 / $7,920.26	Facility		$786.90	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $522.37 / $1,144.05	Professional		$335.63	$522.37	$1,144.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $892.97 / $1,422.21	Professional		$524.83	$892.97	$1,422.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.01 / $924.58 / $1,267.36	Professional		$733.01	$924.58	$1,267.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.71 / $791.31 / $1,242.20	Facility		$504.71	$791.31	$1,242.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $583.98 / $853.98 / $1,180.50	Professional		$583.98	$853.98	$1,180.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $622.45 / $956.24 / $1,079.16	Facility		$622.45	$956.24	$1,079.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.71 / $823.52 / $1,493.92	Facility		$504.71	$823.52	$1,493.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $173.86 / $173.86 / $173.86	Facility	AS	$173.86	$173.86	$173.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.76 / $974.28 / $1,388.63	Professional		$664.76	$974.28	$1,388.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $668.16 / $1,003.15 / $1,502.74	Professional		$668.16	$1,003.15	$1,502.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.04 / $1,094.09 / $1,643.09	Professional		$743.04	$1,094.09	$1,643.09