Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.41 / $5,649.00 / $15,341.00	Facility		$778.41	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.22 / $482.80 / $1,676.44	Professional		$329.22	$482.80	$1,676.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.99 / $711.94 / $1,021.56	Professional		$395.99	$711.94	$1,021.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.05 / $738.04 / $900.36	Professional		$562.05	$738.04	$900.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $712.31 / $1,153.30	Facility		$395.91	$712.31	$1,153.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.53 / $672.64 / $1,033.41	Professional		$562.53	$672.64	$1,033.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $510.18 / $684.70 / $744.90	Facility		$510.18	$684.70	$744.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.46 / $839.94 / $1,212.08	Facility		$444.46	$839.94	$1,212.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.63 / $778.48 / $1,002.91	Professional		$608.63	$778.48	$1,002.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,123.24 / $9,822.48 / $12,564.30	Facility		$7,123.24	$9,822.48	$12,564.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $643.32 / $821.09 / $1,084.58	Professional		$643.32	$821.09	$1,084.58
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 $525.29 / $763.00 / $1,091.74	Professional		$525.29	$763.00	$1,091.74