Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $2,747.00 / $8,728.00	Facility		$284.83	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $440.89 / $1,187.47	Professional		$132.22	$440.89	$1,187.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $425.58 / $1,207.03	Professional		$200.68	$425.58	$1,207.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $362.17 / $1,089.80	Professional		$246.50	$362.17	$1,089.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.14 / $415.12 / $1,118.01	Facility		$190.14	$415.12	$1,118.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $644.40 / $1,056.93	Professional		$213.44	$644.40	$1,056.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.94 / $802.66 / $892.44	Facility		$255.94	$802.66	$892.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.08 / $624.12 / $1,280.09	Facility		$193.08	$624.12	$1,280.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $575.03 / $1,166.49	Professional		$246.40	$575.03	$1,166.49
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 $246.00 / $791.21 / $1,205.80	Professional		$246.00	$791.21	$1,205.80
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 $610.98 / $858.36 / $1,398.61	Professional		$610.98	$858.36	$1,398.61