Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.38 / $7,920.26 / $20,400.00	Facility		$915.38	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.49 / $2,175.81 / $3,811.05	Professional		$440.49	$2,175.81	$3,811.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.72 / $1,355.24 / $4,614.64	Professional		$757.72	$1,355.24	$4,614.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.58 / $1,149.78 / $4,041.90	Professional		$782.58	$1,149.78	$4,041.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.20 / $1,541.76 / $5,709.45	Facility		$558.20	$1,541.76	$5,709.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.56 / $2,601.87 / $5,172.20	Professional		$691.56	$2,601.87	$5,172.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.05 / $3,366.75 / $4,292.68	Facility		$881.05	$3,366.75	$4,292.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.20 / $2,720.79 / $5,709.45	Facility		$558.20	$2,720.79	$5,709.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $803.84 / $2,414.48 / $5,152.89	Professional		$803.84	$2,414.48	$5,152.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,810.16 / $34,372.37 / $65,643.02	Facility		$18,810.16	$34,372.37	$65,643.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $28,215.26 / $51,558.56 / $98,464.53	Facility	50	$28,215.26	$51,558.56	$98,464.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.49 / $1,446.01 / $4,879.63	Professional		$812.49	$1,446.01	$4,879.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $26,255.00	Facility		$3,028.00	$20,708.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,968.54 / $4,289.09 / $5,511.11	Professional		$2,968.54	$4,289.09	$5,511.11