Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.39 / $4,535.00 / $13,320.00	Facility		$707.39	$4,535.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.14 / $766.90 / $1,664.62	Professional		$491.14	$766.90	$1,664.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.45 / $961.74 / $1,442.79	Professional		$664.45	$961.74	$1,442.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.82 / $816.52 / $1,155.33	Professional		$602.82	$816.52	$1,155.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $431.72 / $907.69 / $1,851.73	Facility		$431.72	$907.69	$1,851.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.87 / $990.18 / $1,524.48	Professional		$555.87	$990.18	$1,524.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $800.24 / $988.92 / $1,486.06	Facility		$800.24	$988.92	$1,486.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.72 / $1,020.51 / $1,851.73	Facility		$431.72	$1,020.51	$1,851.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.90 / $978.12 / $1,497.25	Professional		$636.90	$978.12	$1,497.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,716.70 / $15,269.16 / $17,898.62	Facility	50	$11,716.70	$15,269.16	$17,898.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.57 / $922.87 / $1,407.04	Professional		$630.57	$922.87	$1,407.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.64 / $1,282.29 / $1,638.12	Professional		$770.64	$1,282.29	$1,638.12