Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $425.69 / $551.17	Professional		$338.98	$425.69	$551.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.08 / $699.89 / $777.33	Professional		$538.08	$699.89	$777.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $384.74 / $608.74	Facility		$247.50	$384.74	$608.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $17,150.38 / $18,772.80	Professional		$269.14	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.68 / $240.04 / $258.58	Facility		$153.68	$240.04	$258.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $417.48 / $641.52	Facility		$252.67	$417.48	$641.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.60 / $492.71 / $876.71	Professional		$420.60	$492.71	$876.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $640.64 / $1,278.33 / $11,229.43	Facility		$640.64	$1,278.33	$11,229.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.85 / $742.16 / $1,103.83	Professional		$630.85	$742.16	$1,103.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $539.25 / $791.94	Professional		$391.78	$539.25	$791.94