Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.38 / $256.86 / $301.83	Professional		$240.38	$256.86	$301.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.43 / $349.33 / $1,000.13	Professional		$281.43	$349.33	$1,000.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $301.83 / $625.60	Facility		$63.60	$301.83	$625.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Professional		$36.21	$36.21	$36.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.53 / $7,409.24 / $11,280.04	Facility		$108.53	$7,409.24	$11,280.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $301.83 / $625.60	Facility		$114.24	$301.83	$625.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $242.19 / $800.56	Professional		$61.29	$242.19	$800.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,943.91 / $19,642.09 / $25,602.46	Facility		$1,943.91	$19,642.09	$25,602.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $451.07 / $706.78 / $959.78	Professional		$451.07	$706.78	$959.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.87 / $508.53 / $886.23	Professional		$375.87	$508.53	$886.23