Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.49 / $7,920.26 / $20,400.00	Facility		$864.49	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.51 / $520.48 / $971.17	Professional		$364.51	$520.48	$971.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.65 / $785.74 / $1,149.57	Professional		$503.65	$785.74	$1,149.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.73 / $858.42 / $1,022.64	Professional		$727.73	$858.42	$1,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $548.77 / $784.74 / $966.45	Facility		$548.77	$784.74	$966.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $628.72 / $706.20 / $1,030.14	Professional		$628.72	$706.20	$1,030.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.29 / $753.08 / $795.79	Facility		$553.29	$753.08	$795.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.77 / $818.34 / $2,748.00	Facility		$548.77	$818.34	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $701.62 / $800.85 / $1,073.49	Professional		$701.62	$800.85	$1,073.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.90 / $912.40 / $1,226.28	Professional		$707.90	$912.40	$1,226.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $786.81 / $1,212.13	Professional		$550.76	$786.81	$1,212.13