Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.94 / $4,684.68 / $8,728.00	Facility		$767.94	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.37 / $570.01 / $1,858.39	Professional		$380.37	$570.01	$1,858.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.62 / $831.41 / $1,196.77	Professional		$541.62	$831.41	$1,196.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $822.99 / $1,035.60	Professional		$659.13	$822.99	$1,035.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.59 / $851.31 / $1,142.19	Facility		$455.59	$851.31	$1,142.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $560.41 / $737.57 / $1,267.20	Professional		$560.41	$737.57	$1,267.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $598.84 / $809.93 / $864.30	Facility		$598.84	$809.93	$864.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.59 / $945.64 / $1,738.00	Facility		$455.59	$945.64	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $654.21 / $878.05 / $1,171.16	Professional		$654.21	$878.05	$1,171.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $668.76 / $895.94 / $1,206.17	Professional		$668.76	$895.94	$1,206.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.95 / $907.06 / $1,341.73	Professional		$647.95	$907.06	$1,341.73