Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.88 / $5,116.62 / $20,400.00	Facility		$855.88	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.50 / $924.66 / $2,275.66	Professional		$426.50	$924.66	$2,275.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.04 / $1,021.00 / $1,529.15	Professional		$685.04	$1,021.00	$1,529.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.20 / $1,003.56 / $1,280.99	Professional		$759.20	$1,003.56	$1,280.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.60 / $1,018.41 / $1,540.95	Facility		$643.60	$1,018.41	$1,540.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $652.29 / $899.25 / $1,527.51	Professional		$652.29	$899.25	$1,527.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $984.20 / $1,147.44	Facility		$673.11	$984.20	$1,147.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.60 / $1,183.75 / $3,290.00	Facility		$643.60	$1,183.75	$3,290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.04 / $1,049.77 / $1,433.56	Professional		$742.04	$1,049.77	$1,433.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.92 / $1,008.48 / $1,465.78	Professional		$741.92	$1,008.48	$1,465.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.11 / $1,238.05 / $1,645.84	Professional		$894.11	$1,238.05	$1,645.84