Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.41 / $5,649.00 / $15,341.00	Facility		$1,256.41	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.01 / $747.23 / $3,041.34	Professional		$579.01	$747.23	$3,041.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.75 / $1,237.58 / $1,679.61	Professional		$804.75	$1,237.58	$1,679.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.34 / $1,299.70 / $1,463.33	Professional		$915.34	$1,299.70	$1,463.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.23 / $1,173.24 / $1,606.54	Facility		$747.23	$1,173.24	$1,606.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $855.78 / $1,040.00 / $1,822.73	Professional		$855.78	$1,040.00	$1,822.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $814.44 / $1,112.83 / $1,144.35	Facility		$814.44	$1,112.83	$1,144.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.23 / $1,284.57 / $1,606.54	Facility		$747.23	$1,284.57	$1,606.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,013.18 / $1,335.64 / $1,679.61	Professional		$1,013.18	$1,335.64	$1,679.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,740.27 / $27,709.28 / $34,486.44	Facility		$22,740.27	$27,709.28	$34,486.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,039.40 / $1,401.41 / $1,791.69	Professional		$1,039.40	$1,401.41	$1,791.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.96 / $1,241.47 / $1,797.98	Professional		$869.96	$1,241.47	$1,797.98