Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.53 / $7,920.26 / $20,400.00	Facility		$769.53	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.68 / $434.05 / $1,180.51	Professional		$322.68	$434.05	$1,180.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.14 / $814.83 / $1,106.30	Professional		$491.14	$814.83	$1,106.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.15 / $852.46 / $959.79	Professional		$594.15	$852.46	$959.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.05 / $723.34 / $1,015.38	Facility		$434.05	$723.34	$1,015.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.08 / $644.65 / $1,190.41	Professional		$595.08	$644.65	$1,190.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $689.06 / $753.75	Facility		$500.00	$689.06	$753.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.05 / $877.20 / $5,626.00	Facility		$434.05	$877.20	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.07 / $863.46 / $1,106.30	Professional		$636.07	$863.46	$1,106.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $687.60 / $923.06 / $1,180.13	Professional		$687.60	$923.06	$1,180.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.52 / $870.68 / $1,189.44	Professional		$565.52	$870.68	$1,189.44