Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.90 / $4,962.67 / $15,341.00	Facility		$779.90	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $582.84 / $1,789.18	Professional		$295.12	$582.84	$1,789.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.56 / $738.07 / $1,326.64	Professional		$398.56	$738.07	$1,326.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.89 / $820.61 / $1,220.53	Professional		$535.89	$820.61	$1,220.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.64 / $716.99 / $1,173.13	Facility		$366.64	$716.99	$1,173.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $558.80 / $779.12 / $1,164.80	Professional		$558.80	$779.12	$1,164.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $568.03 / $928.79 / $1,057.26	Facility		$568.03	$928.79	$1,057.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.56 / $843.52 / $3,065.00	Facility		$446.56	$843.52	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.90 / $871.72 / $1,253.40	Professional		$617.90	$871.72	$1,253.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $639.02 / $966.82 / $1,375.50	Professional		$639.02	$966.82	$1,375.50
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 $610.60 / $940.80 / $1,519.40	Professional		$610.60	$940.80	$1,519.40