Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $7,943.28	Facility		$1,000.00	$1,288.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,258.93	Professional		$501.19	$602.56	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,548.82	Professional		$549.54	$1,071.52	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,258.93	Professional		$741.31	$954.99	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $1,737.80	Facility		$562.34	$912.01	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,348.96	Professional		$758.58	$912.01	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,000.00	Facility		$758.58	$977.24	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,230.27	Facility		$562.34	$741.31	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $954.99 / $1,348.96	Professional		$79.43	$954.99	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,348.96	Professional		$954.99	$1,071.52	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,380.38	Professional		$630.96	$977.24	$1,380.38