Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.62 / $4,962.67 / $15,341.00	Facility		$328.62	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $796.95 / $2,691.40	Professional		$143.81	$796.95	$2,691.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $839.91 / $2,755.43	Professional		$252.40	$839.91	$2,755.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.23 / $854.09 / $2,258.44	Professional		$284.23	$854.09	$2,258.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.64 / $854.09 / $2,696.33	Facility		$218.64	$854.09	$2,696.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $1,434.10 / $2,850.81	Professional		$239.65	$1,434.10	$2,850.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.10 / $1,662.12 / $1,982.88	Facility		$288.10	$1,662.12	$1,982.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.64 / $1,617.96 / $2,696.33	Facility		$218.64	$1,617.96	$2,696.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $1,219.83 / $2,683.25	Professional		$286.38	$1,219.83	$2,683.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,462.44 / $6,353.74	Facility		$4,032.32	$5,462.44	$6,353.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,048.48 / $8,193.66 / $9,530.61	Facility	50	$6,048.48	$8,193.66	$9,530.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $287.45 / $511.58 / $2,721.22	Professional		$287.45	$511.58	$2,721.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,483.57 / $2,191.37 / $3,055.52	Professional		$1,483.57	$2,191.37	$3,055.52