Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,704.00 / $8,728.00	Facility		$988.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.78 / $659.63 / $1,889.55	Professional		$435.78	$659.63	$1,889.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.41 / $3,250.41 / $5,022.74	Facility		$3,250.41	$3,250.41	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $931.56 / $1,327.62	Professional		$470.00	$931.56	$1,327.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.10 / $1,046.67 / $1,281.20	Professional		$797.10	$1,046.67	$1,281.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.53 / $935.45 / $1,265.73	Facility		$522.53	$935.45	$1,265.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $739.75 / $851.84 / $1,438.14	Professional		$739.75	$851.84	$1,438.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.86 / $913.88 / $975.52	Facility		$660.86	$913.88	$975.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $560.57 / $1,002.27 / $1,391.50	Facility		$560.57	$1,002.27	$1,391.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.51 / $1,041.84 / $1,349.00	Professional		$809.51	$1,041.84	$1,349.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.79 / $1,136.41 / $1,404.92	Professional		$891.79	$1,136.41	$1,404.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $973.01 / $1,513.39	Professional		$674.00	$973.01	$1,513.39