Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.08 / $5,318.00 / $15,341.00	Facility		$771.08	$5,318.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $324.20 / $1,001.30	Professional		$207.47	$324.20	$1,001.30
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 $305.77 / $578.60 / $1,021.97	Professional		$305.77	$578.60	$1,021.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $810.85 / $1,012.98	Professional		$617.51	$810.85	$1,012.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.60 / $593.08 / $858.03	Facility		$338.60	$593.08	$858.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.84 / $543.51 / $1,010.48	Professional		$375.84	$543.51	$1,010.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.17 / $631.40 / $769.16	Facility		$388.17	$631.40	$769.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.17 / $604.76 / $1,275.11	Facility		$363.17	$604.76	$1,275.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.92 / $758.03 / $1,051.56	Professional		$430.92	$758.03	$1,051.56
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 $591.47 / $835.39 / $1,082.99	Professional		$591.47	$835.39	$1,082.99
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 $495.67 / $705.89 / $1,184.15	Professional		$495.67	$705.89	$1,184.15