Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $7,079.46 / $20,892.96	Facility		$851.14	$7,079.46	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,513.56 / $3,467.37	Professional		$407.38	$1,513.56	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,230.27 / $4,897.79	Professional		$602.56	$1,230.27	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $3,981.07	Professional		$645.65	$977.24	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $11,748.98	Facility		$512.86	$2,454.71	$11,748.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,290.87 / $4,466.84	Professional		$602.56	$2,290.87	$4,466.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,890.45	Facility		$2,630.27	$3,162.28	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,905.46 / $4,786.30	Facility		$512.86	$1,905.46	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $4,570.88	Professional		$79.43	$977.24	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $30,902.95 / $43,651.58	Facility		$15,848.93	$30,902.95	$43,651.58
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $23,988.33 / $45,708.82 / $66,069.34	Facility	50	$23,988.33	$45,708.82	$66,069.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $4,265.80	Professional		$741.31	$1,318.26	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $50,118.72	Facility		$3,019.95	$20,892.96	$50,118.72
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,187.76 / $4,897.79	Professional		$616.60	$2,187.76	$4,897.79