Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.42 / $7,920.26 / $20,400.00	Facility		$903.42	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $582.13 / $1,730.32	Professional		$386.68	$582.13	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.99 / $887.85 / $1,211.52	Professional		$563.99	$887.85	$1,211.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.30 / $949.07 / $1,070.13	Professional		$662.30	$949.07	$1,070.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.13 / $870.00 / $1,251.58	Facility		$582.13	$870.00	$1,251.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $619.23 / $710.45 / $1,315.61	Professional		$619.23	$710.45	$1,315.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.79 / $768.95 / $825.44	Facility		$565.79	$768.95	$825.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.13 / $989.36 / $5,626.00	Facility		$582.13	$989.36	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.70 / $941.61 / $1,207.57	Professional		$718.70	$941.61	$1,207.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,753.18 / $13,050.49	Facility		$5,273.56	$9,753.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $746.64 / $1,010.86 / $1,292.36	Professional		$746.64	$1,010.86	$1,292.36
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 $617.91 / $881.60 / $1,291.57	Professional		$617.91	$881.60	$1,291.57