Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.29 / $5,116.62 / $15,341.00	Facility		$602.29	$5,116.62	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $1,265.51 / $2,078.53	Professional		$263.95	$1,265.51	$2,078.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.75 / $1,036.09 / $3,346.50	Professional		$423.75	$1,036.09	$3,346.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.17 / $760.16 / $2,958.35	Professional		$557.17	$760.16	$2,958.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.39 / $1,234.79 / $2,955.62	Facility		$358.39	$1,234.79	$2,955.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $1,904.30 / $3,148.56	Professional		$478.33	$1,904.30	$3,148.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.49 / $2,288.05 / $2,549.35	Facility		$567.49	$2,288.05	$2,549.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.02 / $1,298.60 / $3,138.93	Facility		$365.02	$1,298.60	$3,138.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.40 / $1,568.08 / $3,329.84	Professional		$534.40	$1,568.08	$3,329.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,664.71 / $12,623.94	Facility		$7,811.13	$10,664.71	$12,623.94
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,716.70 / $15,997.07 / $18,935.91	Facility	50	$11,716.70	$15,997.07	$18,935.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $1,500.47 / $3,219.04	Professional		$528.64	$1,500.47	$3,219.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $12,835.00 / $26,404.00	Facility		$3,949.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.99 / $2,417.41 / $3,779.96	Professional		$1,282.99	$2,417.41	$3,779.96