Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $7,943.28	Facility		$933.25	$1,230.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,148.15	Professional		$380.19	$524.81	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,479.11	Professional		$501.19	$1,047.13	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,230.27	Professional		$707.95	$912.01	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,548.82	Facility		$501.19	$724.44	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,230.27	Professional		$660.69	$776.25	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $954.99	Facility		$616.60	$831.76	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,071.52	Facility		$457.09	$724.44	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,258.93	Professional		$79.43	$870.96	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $15,135.61 / $18,197.01	Facility	50	$10,964.78	$15,135.61	$18,197.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,288.25	Professional		$870.96	$1,023.29	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,258.93	Professional		$537.03	$851.14	$1,258.93