Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $481.29 / $481.29	Professional		$391.13	$481.29	$481.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.04 / $1,131.23 / $1,523.24	Professional		$770.04	$1,131.23	$1,523.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.41 / $1,041.61 / $1,133.68	Professional		$856.41	$1,041.61	$1,133.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.53 / $505.35 / $1,034.77	Facility		$391.53	$505.35	$1,034.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.81 / $436.41 / $476.62	Facility		$173.81	$436.41	$476.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.39 / $529.41 / $1,034.77	Facility		$187.39	$529.41	$1,034.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.87 / $853.79 / $1,301.99	Professional		$224.87	$853.79	$1,301.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,700.30 / $22,870.85 / $34,486.44	Facility		$12,700.30	$22,870.85	$34,486.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $740.50 / $1,059.52 / $1,283.22	Professional		$740.50	$1,059.52	$1,283.22
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 $569.91 / $823.65 / $1,280.93	Professional		$569.91	$823.65	$1,280.93