Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.00 / $2,747.00 / $15,978.56	Facility		$565.00	$2,747.00	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $459.35 / $1,537.00	Professional		$358.36	$459.35	$1,537.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.68 / $876.48 / $1,146.54	Professional		$510.68	$876.48	$1,146.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.59 / $868.48 / $1,025.68	Professional		$689.59	$868.48	$1,025.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.81 / $726.16 / $987.60	Facility		$398.81	$726.16	$987.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $590.58 / $696.50 / $1,293.72	Professional		$590.58	$696.50	$1,293.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.78 / $737.00 / $882.39	Facility		$524.78	$737.00	$882.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.32 / $848.26 / $3,743.00	Facility		$401.32	$848.26	$3,743.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $681.03 / $932.75 / $1,193.39	Professional		$681.03	$932.75	$1,193.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $726.10 / $972.90 / $1,243.11	Professional		$726.10	$972.90	$1,243.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.46 / $1,023.01 / $1,395.84	Professional		$626.46	$1,023.01	$1,395.84