Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.24 / $1,329.50 / $7,920.26	Facility		$466.24	$1,329.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $318.07 / $691.44	Professional		$228.13	$318.07	$691.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.48 / $585.34 / $900.35	Professional		$396.48	$585.34	$900.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.13 / $624.14 / $771.34	Professional		$434.13	$624.14	$771.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $476.92 / $795.14	Facility		$339.46	$476.92	$795.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.05 / $547.15 / $866.81	Professional		$436.05	$547.15	$866.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $786.26 / $2,163.42	Facility		$459.79	$786.26	$2,163.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.37 / $518.48 / $3,005.10	Facility		$344.37	$518.48	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $627.44 / $840.18	Professional		$488.00	$627.44	$840.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $494.48 / $667.62 / $938.03	Professional		$494.48	$667.62	$938.03
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 $452.60 / $616.30 / $995.35	Professional		$452.60	$616.30	$995.35