Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.78 / $4,962.67 / $15,341.00	Facility		$725.78	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $433.33 / $1,117.96	Professional		$268.37	$433.33	$1,117.96
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 $413.79 / $716.74 / $1,179.08	Professional		$413.79	$716.74	$1,179.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.09 / $773.32 / $1,064.58	Professional		$614.09	$773.32	$1,064.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.05 / $639.78 / $992.72	Facility		$407.05	$639.78	$992.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $480.82 / $698.50 / $988.95	Professional		$480.82	$698.50	$988.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.93 / $806.00 / $873.01	Facility		$508.93	$806.00	$873.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.05 / $639.78 / $1,194.95	Facility		$407.05	$639.78	$1,194.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.70 / $788.20 / $1,128.25	Professional		$534.70	$788.20	$1,128.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $535.67 / $812.96 / $1,214.08	Professional		$535.67	$812.96	$1,214.08
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 $595.01 / $886.19 / $1,359.65	Professional		$595.01	$886.19	$1,359.65