Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.89 / $4,962.67 / $15,341.00	Facility		$253.89	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $1,540.67 / $2,983.59	Professional		$109.37	$1,540.67	$2,983.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,685.28 / $2,685.28 / $2,685.28	Professional	50	$2,685.28	$2,685.28	$2,685.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $1,215.58 / $3,567.03	Professional		$184.42	$1,215.58	$3,567.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.09 / $320.42 / $3,081.22	Professional		$218.09	$320.42	$3,081.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.51 / $1,162.30 / $3,604.85	Facility		$154.51	$1,162.30	$3,604.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $1,952.35 / $3,881.03	Professional		$188.94	$1,952.35	$3,881.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.80 / $2,319.90 / $2,877.65	Facility		$224.80	$2,319.90	$2,877.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.51 / $2,153.08 / $3,604.85	Facility		$154.51	$2,153.08	$3,604.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $1,843.71 / $4,059.83	Professional		$222.72	$1,843.71	$4,059.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $400.97 / $3,741.68	Professional		$225.30	$400.97	$3,741.68
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 $2,233.41 / $3,006.51 / $4,201.35	Professional		$2,233.41	$3,006.51	$4,201.35