Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.35 / $9,338.46 / $30,593.00	Facility		$857.35	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.67 / $542.49 / $1,222.58	Professional		$397.67	$542.49	$1,222.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.55 / $818.68 / $1,173.93	Professional		$428.55	$818.68	$1,173.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $678.25 / $890.60 / $1,105.33	Professional		$678.25	$890.60	$1,105.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.95 / $764.46 / $1,157.93	Facility		$462.95	$764.46	$1,157.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.20 / $739.44 / $1,235.76	Professional		$616.20	$739.44	$1,235.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.14 / $801.99 / $842.86	Facility		$581.14	$801.99	$842.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.13 / $840.35 / $1,449.42	Facility		$488.13	$840.35	$1,449.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $696.30 / $908.91 / $1,195.09	Professional		$696.30	$908.91	$1,195.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $768.17 / $981.87 / $1,249.39	Professional		$768.17	$981.87	$1,249.39
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 $605.15 / $872.63 / $1,328.81	Professional		$605.15	$872.63	$1,328.81