Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.62 / $3,925.18 / $15,341.00	Facility		$552.62	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $348.60 / $820.05	Professional		$271.72	$348.60	$820.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $688.19 / $1,067.84	Professional		$462.41	$688.19	$1,067.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $734.99 / $904.07	Professional		$514.00	$734.99	$904.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.59 / $552.22 / $932.92	Facility		$392.59	$552.22	$932.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $515.03 / $621.76 / $1,023.82	Professional		$515.03	$621.76	$1,023.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $538.28 / $775.19 / $2,134.04	Facility		$538.28	$775.19	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.97 / $607.69 / $3,005.10	Facility		$410.97	$607.69	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.79 / $728.98 / $983.35	Professional		$572.79	$728.98	$983.35
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 $578.74 / $781.94 / $1,085.83	Professional		$578.74	$781.94	$1,085.83
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 $465.50 / $735.24 / $1,151.43	Professional		$465.50	$735.24	$1,151.43