Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $2,824.50 / $7,920.26	Facility		$170.32	$2,824.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $375.10 / $754.14	Professional		$77.29	$375.10	$754.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $523.64 / $1,056.65	Professional		$130.96	$523.64	$1,056.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $198.05 / $826.55	Professional		$148.19	$198.05	$826.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.48 / $328.31 / $896.64	Facility		$105.48	$328.31	$896.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $536.01 / $912.02	Professional		$136.37	$536.01	$912.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $692.23 / $1,003.96	Facility		$142.50	$692.23	$1,003.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.48 / $441.46 / $954.21	Facility		$105.48	$441.46	$954.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $523.64 / $1,029.70	Professional		$157.47	$523.64	$1,029.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $288.05 / $1,098.09	Professional		$161.85	$288.05	$1,098.09
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 $629.16 / $885.96 / $1,208.88	Professional		$629.16	$885.96	$1,208.88