Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.69 / $2,790.31 / $7,920.26	Facility		$986.69	$2,790.31	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,977.00 / $7,977.00 / $7,977.00	Facility	50	$7,977.00	$7,977.00	$7,977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.60 / $721.99 / $2,031.77	Professional		$440.60	$721.99	$2,031.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.19 / $1,307.24 / $2,018.79	Professional		$749.19	$1,307.24	$2,018.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.18 / $1,314.12 / $1,822.75	Professional		$970.18	$1,314.12	$1,822.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.99 / $1,175.28 / $1,837.70	Facility		$721.99	$1,175.28	$1,837.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $801.11 / $1,168.20 / $2,035.87	Professional		$801.11	$1,168.20	$2,035.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.72 / $1,302.14 / $1,500.13	Facility		$795.72	$1,302.14	$1,500.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $721.99 / $1,411.71 / $2,579.69	Facility		$721.99	$1,411.71	$2,579.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $1,372.64 / $2,018.79	Professional		$933.66	$1,372.64	$2,018.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,074.10 / $13,818.32 / $18,079.02	Facility	50	$11,074.10	$13,818.32	$18,079.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $965.92 / $1,413.67 / $2,130.92	Professional		$965.92	$1,413.67	$2,130.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.60 / $1,487.21 / $2,392.69	Professional		$1,042.60	$1,487.21	$2,392.69