Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.04 / $4,684.68 / $8,728.00	Facility		$940.04	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.07 / $653.20 / $2,244.54	Professional		$469.07	$653.20	$2,244.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.71 / $980.46 / $1,273.31	Professional		$621.71	$980.46	$1,273.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $992.25 / $1,129.54	Professional		$795.00	$992.25	$1,129.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $924.76 / $1,303.52	Facility		$606.29	$924.76	$1,303.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $669.12 / $786.26 / $1,372.88	Professional		$669.12	$786.26	$1,372.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.60 / $845.61 / $925.27	Facility		$607.60	$845.61	$925.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $1,017.36 / $1,738.00	Facility		$606.29	$1,017.36	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.76 / $1,014.75 / $1,276.80	Professional		$785.76	$1,014.75	$1,276.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.12 / $1,063.92 / $1,346.11	Professional		$816.12	$1,063.92	$1,346.11
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 $693.24 / $1,090.86 / $1,430.28	Professional		$693.24	$1,090.86	$1,430.28