Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.67 / $2,747.00 / $13,320.00	Facility		$665.67	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.56 / $769.76 / $1,685.53	Professional		$359.56	$769.76	$1,685.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $516.03 / $1,419.14 / $3,151.21	Professional	50	$516.03	$1,419.14	$3,151.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.77 / $920.47 / $2,057.41	Professional		$472.77	$920.47	$2,057.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.23 / $784.38 / $1,761.32	Professional		$624.23	$784.38	$1,761.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.23 / $1,077.40 / $2,158.50	Facility		$407.23	$1,077.40	$2,158.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $508.66 / $1,142.69 / $1,821.73	Professional		$508.66	$1,142.69	$1,821.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $1,402.94 / $1,698.12	Facility		$673.20	$1,402.94	$1,698.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.23 / $1,090.72 / $2,345.05	Facility		$407.23	$1,090.72	$2,345.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.40 / $1,087.02 / $1,975.80	Professional		$569.40	$1,087.02	$1,975.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,439.04 / $22,566.02 / $25,992.15	Facility		$17,439.04	$22,566.02	$25,992.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $26,158.56 / $33,849.03 / $38,988.23	Facility	50	$26,158.56	$33,849.03	$38,988.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.37 / $967.61 / $2,103.44	Professional		$581.37	$967.61	$2,103.44
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 $1,110.72 / $1,559.27 / $2,299.92	Professional		$1,110.72	$1,559.27	$2,299.92