Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,623.41 / $8,709.64	Facility		$758.58	$5,623.41	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $954.99	Professional		$338.84	$426.58	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $1,148.15	Professional		$416.87	$812.83	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $891.25	Professional		$323.59	$426.58	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $660.69 / $6,918.31	Facility		$302.00	$660.69	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,000.00	Professional		$346.74	$630.96	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $758.58	Facility		$616.60	$724.44	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $912.01	Facility		$275.42	$537.03	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,023.29	Professional		$79.43	$707.95	$1,023.29
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 $676.08 / $794.33 / $1,023.29	Professional		$676.08	$794.33	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $15,135.61	Facility		$1,698.24	$5,754.40	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,023.29	Professional		$489.78	$724.44	$1,023.29