Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.65 / $5,014.64 / $13,320.00	Facility		$438.65	$5,014.64	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $934.25 / $5,448.79	Professional		$189.24	$934.25	$5,448.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $909.86 / $1,336.65 / $5,695.62	Professional	50	$909.86	$1,336.65	$5,695.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.04 / $1,498.05 / $4,920.83	Professional		$303.04	$1,498.05	$4,920.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.59 / $1,521.98 / $4,034.96	Professional		$340.59	$1,521.98	$4,034.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.56 / $1,691.51 / $6,495.26	Facility		$263.56	$1,691.51	$6,495.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.48 / $2,321.19 / $5,075.67	Professional		$297.48	$2,321.19	$5,075.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $3,152.51 / $3,994.54	Facility		$376.54	$3,152.51	$3,994.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.56 / $3,021.05 / $6,495.26	Facility		$263.56	$3,021.05	$6,495.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $2,186.29 / $4,896.91	Professional		$344.43	$2,186.29	$4,896.91
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $452.29 / $557.77 / $825.29	Professional	AS	$452.29	$557.77	$825.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,797.14 / $30,050.66 / $38,432.64	Facility	50	$22,797.14	$30,050.66	$38,432.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $345.71 / $615.27 / $4,885.31	Professional		$345.71	$615.27	$4,885.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,876.31 / $4,261.67 / $5,485.45	Professional		$2,876.31	$4,261.67	$5,485.45