Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.94 / $4,962.67 / $15,341.00	Facility		$825.94	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.61 / $560.73 / $1,423.01	Professional		$351.61	$560.73	$1,423.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $878.23 / $1,432.61	Professional		$544.96	$878.23	$1,432.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $878.63 / $1,240.36	Professional		$603.29	$878.63	$1,240.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.52 / $801.84 / $1,226.33	Facility		$501.52	$801.84	$1,226.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $601.51 / $845.64 / $1,195.72	Professional		$601.51	$845.64	$1,195.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.34 / $969.49 / $1,072.00	Facility		$591.34	$969.49	$1,072.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.52 / $864.29 / $3,005.10	Facility		$501.52	$864.29	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.80 / $950.06 / $1,340.00	Professional		$670.80	$950.06	$1,340.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.68 / $1,009.88 / $1,505.58	Professional		$682.68	$1,009.88	$1,505.58
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 $697.71 / $970.86 / $1,520.43	Professional		$697.71	$970.86	$1,520.43