Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.15 / $4,962.67 / $15,341.00	Facility		$612.15	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $589.10 / $1,466.61	Professional		$305.27	$589.10	$1,466.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $748.80 / $1,106.70	Professional		$430.00	$748.80	$1,106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.96 / $726.35 / $926.12	Professional		$536.96	$726.35	$926.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.73 / $660.68 / $1,086.21	Facility		$394.73	$660.68	$1,086.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.92 / $653.30 / $1,104.22	Professional		$449.92	$653.30	$1,104.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.13 / $748.70 / $871.38	Facility		$472.13	$748.70	$871.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.73 / $842.41 / $2,327.00	Facility		$394.73	$842.41	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.55 / $757.16 / $1,058.80	Professional		$525.55	$757.16	$1,058.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $532.80 / $741.27 / $1,084.89	Professional		$532.80	$741.27	$1,084.89
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 $624.88 / $924.35 / $1,218.17	Professional		$624.88	$924.35	$1,218.17