Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.57 / $4,704.00 / $8,728.00	Facility		$766.57	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $494.87 / $1,832.39	Professional		$350.74	$494.87	$1,832.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.56 / $754.76 / $1,028.60	Professional		$481.56	$754.76	$1,028.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.92 / $806.65 / $909.42	Professional		$562.92	$806.65	$909.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.87 / $738.78 / $1,063.97	Facility		$494.87	$738.78	$1,063.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $618.15 / $1,118.25	Professional		$512.04	$618.15	$1,118.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $493.97 / $656.60 / $704.17	Facility		$493.97	$656.60	$704.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.87 / $868.70 / $2,724.00	Facility		$494.87	$868.70	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $799.77 / $1,024.54	Professional		$613.65	$799.77	$1,024.54
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 $633.48 / $858.24 / $1,097.25	Professional		$633.48	$858.24	$1,097.25
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 $529.48 / $736.46 / $1,095.82	Professional		$529.48	$736.46	$1,095.82